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PALISADES PEDIATRICS NPI 1689712358


NPI Information

NPI: 1689712358
Provider Name: PALISADES PEDIATRICS
Classification: Specialist - 174400000X
Entity Type: Organization
Address:
910 VIA DE LA PAZ
SUITE #207
PACIFIC PALISADES, CA
ZIP 90272
Phone: (310) 454-4466
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PALISADES PEDIATRICS is a specialist in Pacific Palisades, 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. PALISADES PEDIATRICS NPI is 1689712358. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

910 VIA DE LA PAZ
SUITE #207
PACIFIC PALISADES, CA
ZIP 90272-515
Phone: (310) 454-4466
Fax: (310) 454-0916

The provider's authorized official is David Harry Geller .
The authorized official title is Owner and has the following contact phone number (310) 454-4466.

The enumeration date for this NPI number is 2/2/2007 and was last updated on 6/26/2008.


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
1174400000XSpecialistG070850CALIFORNIAYes

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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