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COAST PEDIATRICS CARMEL VALLEY NPI 1427434679


NPI Information

NPI: 1427434679
Provider Name: COAST PEDIATRICS CARMEL VALLEY
Classification: Pediatrics - 208000000X
Entity Type: Organization

CLIA Number: 05D2045273

Address:
5965 VILLAGE DRIVE, SUITE 201
SAN DIEGO, CA
ZIP 92130
Phone: (858) 755-7337
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COAST PEDIATRICS CARMEL VALLEY is a pediatrics in San Diego, CA. The provider is a pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. COAST PEDIATRICS CARMEL VALLEY NPI is 1427434679. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

5965 VILLAGE DRIVE, SUITE 201
SAN DIEGO, CA
ZIP 92130
Phone: (858) 755-7337
Fax: (858) 755-7338

The provider's authorized official is Kelly Ann Conley .
The authorized official title is Office Manager and has the following contact phone number (858) 794-7337.

The CLIA number assigned to this NPI record is 05D2045273 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/10/2015 and was last updated on 8/10/2015.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208000000XPediatricsA55826CALIFORNIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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