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FOUNTAIN VALLEY OFFICE NPI 1467643726


NPI Information

NPI: 1467643726
Provider Name: FOUNTAIN VALLEY OFFICE

Other Name: PEDIATRIC SUBSPECIALTY FACULTY, INC.

Classification: Pediatrics - 208000000X
Entity Type: Organization
Address:
11100 WARNER AVE STE 254
FOUNTAIN VALLEY, CA
ZIP 92708
Phone: (714) 516-4295
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FOUNTAIN VALLEY OFFICE is a pediatrics in Fountain Valley, 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. FOUNTAIN VALLEY OFFICE NPI is 1467643726. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Other Name Is Pediatric Subspecialty Faculty, Inc..

The provider's business location address is:

11100 WARNER AVE STE 254
FOUNTAIN VALLEY, CA
ZIP 92708-502
Phone: (714) 516-4295

The provider's authorized official is Elizabeth M Farace .
The authorized official title is Manager and has the following contact phone number (714) 516-4295.

The enumeration date for this NPI number is 8/1/2007 and was last updated on 8/1/2007.


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
1208000000XPediatricsCALIFORNIAYes

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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