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PEDIATRIC CARDIAC CLINIC NPI 1578900932


NPI Information

NPI: 1578900932
Provider Name: PEDIATRIC CARDIAC CLINIC

Doing Business As: PEDIATRIC CARDIAC CLINIC

Classification: Specialist - 174400000X
Entity Type: Organization
Address:
616 34TH ST
BAKERSFIELD, CA
ZIP 93301
Phone: (661) 634-0955
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PEDIATRIC CARDIAC CLINIC is a specialist in Bakersfield, 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. PEDIATRIC CARDIAC CLINIC NPI is 1578900932. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Pediatric Cardiac Clinic.

The provider's business location address is:

616 34TH ST
BAKERSFIELD, CA
ZIP 93301-208
Phone: (661) 634-0955
Fax: (661) 634-9662

The provider's authorized official is Eleftherios B Sideris .
The authorized official title is President and has the following contact phone number (661) 634-0955.

The enumeration date for this NPI number is 5/25/2013 and was last updated on 5/25/2013.


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
1174400000XSpecialistYes

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: 4/28/2024

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