Tlc Pediatrics Medical Group in San Juan Capistrano - Specialist
Tlc Pediatrics Medical Group - NPI 1356303168
Tlc Pediatrics Medical Group is a Specialist in San Juan Capistrano, California. Tlc Pediatrics Medical Group practices all healthcare services and medical treatments related to Specialist. The NPI Number for Tlc Pediatrics Medical Group is 1356303168. The last update date is 2022-07-21.
Tlc Pediatrics Medical Group's current location address is 30210 Rancho Viejo Rd, San Juan Capistrano, California. You can contact this provider via phone number 9494937337 and fax number 9494931418. The mailing address for Tlc Pediatrics Medical Group is 30210 Rancho Viejo Rd, San Juan Capistrano, California. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Tlc Pediatrics Medical Group |
|---|---|
| Address | 30210 Rancho Viejo Rd, San Juan Capistrano, California |
| Phone Number | 9494937337 |
| Fax Number | 9494931418 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | MEDICAL MA |
|---|---|
| Authorized Official Name | Dagostino Suzanne Josiane |
| Credentials | CMM |
| Telephone Number | 9494931383 |
NPI Number Detail
| NPI Number | 1356303168 |
|---|---|
| Provider Enumeration Date | 2006-04-05 |
| Last Updated Date | 2022-07-21 |
Provider Mailing Address Detail
| Address | 30210 Rancho Viejo Rd |
|---|---|
| City | San Juan Capistrano |
| State | California (CA) |
| Post Code | 926751574 |
| Phone Number | 9494937337 |
| Fax Number | 9494931418 |
Provider's Primary Taxonomy Detail
| Speciality | Specialist |
|---|---|
| Taxonomy | 174400000X |
|
Definition: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| GR0081160 | CA | -- |
Post Comment/ Review Below
What is the Tlc Pediatrics Medical Group's 1356303168?
The Tlc Pediatrics Medical Group's NPI (National Provider Identifier) Number is 1356303168. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where Tlc Pediatrics Medical Group is geographically located?
The Tlc Pediatrics Medical Group is physically situated at the following location: 30210 Rancho Viejo Rd, San Juan Capistrano, CA, 926751574.
What is Tlc Pediatrics Medical Group's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Tlc Pediatrics Medical Group is Specialist, and the taxonomy code that classifies this field of practice is 174400000X.
On what date was the 1356303168 assigned to Tlc Pediatrics Medical Group?
The Tlc Pediatrics Medical Group was issued its 1356303168 on 2006-04-05, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the information regarding Tlc Pediatrics Medical Group most recently updated?
The details pertaining to the Tlc Pediatrics Medical Group, including its address, specialty, and other relevant information, were last refreshed on 2022-07-21.
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