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SOUTHLANDS MEDICAL CLINIC NPI 1811141021


NPI Information

NPI: 1811141021
Provider Name: SOUTHLANDS MEDICAL CLINIC
Classification: Pediatrics - 208000000X
Entity Type: Organization
Address:
8614 VAN NUYS BLVD
PANORAMA CITY, CA
ZIP 91402
Phone: (818) 913-9551
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SOUTHLANDS MEDICAL CLINIC is a pediatrics in Panorama City, 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. SOUTHLANDS MEDICAL CLINIC NPI is 1811141021. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

8614 VAN NUYS BLVD
PANORAMA CITY, CA
ZIP 91402-913
Phone: (818) 913-9551
Fax: (818) 647-6310

The provider's authorized official is Padmaja Reddy Kankar .
The authorized official title is President and has the following contact phone number (818) 913-9551.

The enumeration date for this NPI number is 11/14/2008 and was last updated on 11/14/2008.


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
1208000000XPediatricsA 98001CALIFORNIAYes

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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