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ELK GROVE PEDIATRICS INC NPI 1437354677


NPI Information

NPI: 1437354677
Provider Name: ELK GROVE PEDIATRICS, INC
Classification: Specialist - 174400000X
Entity Type: Organization

CLIA Number: 05D0613888

Address:
9727 ELK GROVE FLORIN RD STE 250
ELK GROVE, CA
ZIP 95624
Phone: (916) 686-5003
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ELK GROVE PEDIATRICS, INC is a specialist in Elk Grove, CA. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. ELK GROVE PEDIATRICS, INC NPI is 1437354677. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

9727 ELK GROVE FLORIN RD STE 250
ELK GROVE, CA
ZIP 95624-290
Phone: (916) 686-5003
Fax: (916) 686-5015

The provider's authorized official is Rahat Saied .
The authorized official title is Owner and has the following contact phone number (916) 686-5003.

The CLIA number assigned to this NPI record is 05D0613888 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/18/2007 and was last updated on 8/22/2020.


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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1174400000XSpecialistA36312CALIFORNIAYes

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: 5/5/2024

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