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LA CLINICA DEL NINO PC NPI 1922131374


NPI Information

NPI: 1922131374
Provider Name: LA CLINICA DEL NINO PC

Doing Business As: INTERNATIONAL PEDIATRICS CLINIC

Classification: Pediatrics - 208000000X
Entity Type: Organization

CLIA Number: 11D0997906

Address:
3780 HOLCOMB BRIDGE RD
STE C
NORCROSS, GA
ZIP 30092
Phone: (770) 263-9101
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LA CLINICA DEL NINO PC is a pediatrics in Norcross, GA. 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. LA CLINICA DEL NINO PC NPI is 1922131374. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As International Pediatrics Clinic.

The provider's business location address is:

3780 HOLCOMB BRIDGE RD
STE C
NORCROSS, GA
ZIP 30092-701
Phone: (770) 263-9101
Fax: (770) 263-9102

The provider's authorized official is Suzana Montana .
The authorized official title is Business Administrator and has the following contact phone number (770) 263-9101.

The CLIA number assigned to this NPI record is 11D0997906 - physician office with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 3/14/2007 and was last updated on 2/19/2018.


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

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