PEDIATRIC MEDICAL GROUP OF SAN FRANCISCO INC NPI 1477666352

NPI Details

PEDIATRIC MEDICAL GROUP OF SAN FRANCISCO INC is a legal medicine in Daly City, CA. The provider is the specialty areas of medicine concerned with matters of, and relations with, substantive law and legal institutions; such as the conduct of medical examinations at crime scenes, performance of autopsies, giving of expert medical testimony in judicial proceedings, medical treatment of inmates of penal institutions, the practice of trauma medicine in law enforcement settings, and other clinical practice and medical science applications in the fields of law, law enforcement, and corrections. PEDIATRIC MEDICAL GROUP OF SAN FRANCISCO INC NPI is 1477666352. The provider is registered as an organization entity type and is a single specialty group.
The provider Former Legal Business Name Is The Pediatric Medical Group Of San Francisco.

The provider's business location address is:

901 CAMPUS DR
SUITE 207
DALY CITY, CA
ZIP 94015-900
Phone: (415) 242-5433
Fax: (415) 242-8904

The provider's authorized official is Mary Ann Santos Fernandez .
The authorized official title is President and has the following contact phone number (415) 242-5433.

The CLIA number assigned to this NPI record is 05D0973919 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/16/2006 and was last updated on 11/30/2016.

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: