Provider Type Icon

AGOURA-WEST VALLEY PEDIATRIC MEDICAL GROUP NPI 1730108366


NPI Information

NPI: 1730108366
Provider Name: AGOURA-WEST VALLEY PEDIATRIC MEDICAL GROUP
Classification: Pediatrics - 208000000X
Entity Type: Organization

CLIA Number: 05D0557570

Address:
7230 MEDICAL CENTER DR STE 402
WEST HILLS, CA
ZIP 91307
Phone: (818) 340-3822
Get Directions

AGOURA-WEST VALLEY PEDIATRIC MEDICAL GROUP is a pediatrics in West Hills, 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. AGOURA-WEST VALLEY PEDIATRIC MEDICAL GROUP NPI is 1730108366. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

7230 MEDICAL CENTER DR STE 402
WEST HILLS, CA
ZIP 91307-015
Phone: (818) 340-3822
Fax: (818) 340-8039

The provider's authorized official is Christopher James Tolcher .
The authorized official title is Vice President And Privacy Official and has the following contact phone number (818) 340-3822.

The CLIA number assigned to this NPI record is 05D0557570 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/18/2006 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:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1208000000XPediatricsYes

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: 5/5/2024

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.