TINY TOTS PEDIATRICS LLC NPI 1649457193

NPI Information

  • NPI: 1649457193
  • Provider Name: TINY TOTS PEDIATRICS LLC
  • Classification: Pediatrics - 208000000X
  • Entity Type: Organization
  • CLIA Number: 03D2085712
  • Address: 2020 SILVERCREEK ROAD
    SUITE 114 BULIDING A
    BULLHEAD CITY, AZ
    ZIP 86442
  • Phone: (928) 763-7020

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NPI Details

TINY TOTS PEDIATRICS LLC is a pediatrics in Bullhead City, AZ. 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. TINY TOTS PEDIATRICS LLC NPI is 1649457193. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2020 SILVERCREEK ROAD
SUITE 114 BULIDING A
BULLHEAD CITY, AZ
ZIP 86442
Phone: (928) 763-7020
Fax: (928) 763-7050

The provider's authorized official is Marylou Reyes .
The authorized official title is Owner and has the following contact phone number (928) 763-7020.

The CLIA number assigned to this NPI record is 03D2085712 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/28/2008 and was last updated on 2/8/2012.

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
1208000000XPediatrics28997ARIZONAYes

What is NPI?

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This page was last updated on: 11/21/2025

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