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KIDIATRICS MEDICAL GROUP INC. NPI 1841475738


NPI Information

NPI: 1841475738
Provider Name: KIDIATRICS MEDICAL GROUP, INC.
Classification: Pediatrics - 208000000X
Entity Type: Organization
Address:
22032 EL PASEO
#160
RANCHO SANTA MARGARITA, CA
ZIP 92688
Phone: (949) 766-5001
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KIDIATRICS MEDICAL GROUP, INC. is a pediatrics in Rancho Santa Margarita, 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. KIDIATRICS MEDICAL GROUP, INC. NPI is 1841475738. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

22032 EL PASEO
#160
RANCHO SANTA MARGARITA, CA
ZIP 92688-947
Phone: (949) 766-5001
Fax: (949) 766-5118

The provider's authorized official is Nivedita N More .
The authorized official title is Physican/president and has the following contact phone number (949) 766-5001.

The enumeration date for this NPI number is 1/9/2008 and was last updated on 1/9/2008.


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
1208000000XPediatricsA069104CALIFORNIAYes

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
1ZZZ01773ZOTHERCALIFORNIABLUE SHIELD OF CALIFORNIA
200A691040MEDICAIDCALIFORNIA
300A691040OTHERCALIFORNIACALOPTIMA

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: 4/28/2024

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