KIDS CRITICAL CARE MEDICAL GROUP INC NPI 1528144763

NPI Information

KIDS CRITICAL CARE MEDICAL GROUP INC is a children general acute care hospital in Anaheim, CA. KIDS CRITICAL CARE MEDICAL GROUP INC NPI is 1528144763. The provider is registered as an organization entity type.
The provider Former Legal Business Name Is Kids Care Med Group Inc.

The provider's business location address is:

1111 WEST LA PALMA AVE
ANAHEIM MEMORIAL MEDICAL CENTER
ANAHEIM, CA
ZIP 92801-881
Phone: (714) 999-5144
Fax: (714) 999-5143

The provider's authorized official is Sandy S Shaw .
The authorized official title is President and has the following contact phone number (714) 999-5144.

The enumeration date for this NPI number is 10/31/2006 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:

Other Identifiers

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