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PEDIATRIC MEDICAL ASSOCIATES OF ORANGE COUNTY INC NPI 1699962688


NPI Information

NPI: 1699962688
Provider Name: PEDIATRIC MEDICAL ASSOCIATES OF ORANGE COUNTY INC
Classification: Pediatrics - 208000000X
Entity Type: Organization

CLIA Number: 05D0582068

Address:
1211 W LA PALMA AVE
SUITE 401
ANAHEIM, CA
ZIP 92801
Phone: (714) 520-0313
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PEDIATRIC MEDICAL ASSOCIATES OF ORANGE COUNTY INC is a pediatrics in Anaheim, CA. 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. PEDIATRIC MEDICAL ASSOCIATES OF ORANGE COUNTY INC NPI is 1699962688. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1211 W LA PALMA AVE
SUITE 401
ANAHEIM, CA
ZIP 92801-815
Phone: (714) 520-0313
Fax: (714) 520-0896

The provider's authorized official is Mamerto Garcia .
The authorized official title is Ceo and has the following contact phone number (714) 520-0826.

The CLIA number assigned to this NPI record is 05D0582068 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/3/2007 and was last updated on 10/3/2007.


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
1208000000XPediatrics00A489170CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
100A489170MEDICAIDCALIFORNIA

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.