Pacific Coast Pediatric Center Inc in Freedom - Pediatrics

Pacific Coast Pediatric Center Inc - NPI 1619152402

Pacific Coast Pediatric Center Inc is a Pediatrics in Freedom, California. Pacific Coast Pediatric Center Inc practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Pacific Coast Pediatric Center Inc is 1619152402. The last update date is 2008-01-01.

Pacific Coast Pediatric Center Inc's current location address is 252 Green Valley Rd, Freedom, California. You can contact this provider via phone number 8317220272 and fax number 8317221007. The mailing address for Pacific Coast Pediatric Center Inc is 252 Green Valley Rd, Freedom, California. To know further, please read the information below!

Provider Profile Detail

Provider Organization Pacific Coast Pediatric Center Inc
Address 252 Green Valley Rd, Freedom, California
Phone Number 8317220272
Fax Number 8317221007
Sole Proprietor --
Credentials --

Authorized Official

Title or Position OWNER, PAR
Authorized Official Name Shaw Lee Linda
Credentials MD
Telephone Number 8317220272

NPI Number Detail

NPI Number 1619152402
Provider Enumeration Date 2007-12-31
Last Updated Date 2008-01-01

Provider Mailing Address Detail

Address 252 Green Valley Rd
City Freedom
State California (CA)
Post Code 950193138
Phone Number 8317220272
Fax Number 8317221007

Provider's Primary Taxonomy Detail

Speciality Pediatrics
Taxonomy 208000000X
Definition:
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

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
36791 CA FICTITIOUS NAME PERMIT CA

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FAQs about Pacific Coast Pediatric Center Inc

What is the unique 10-digit identification code assigned to Pacific Coast Pediatric Center Inc by the Centers for Medicare & Medicaid Services?

The Pacific Coast Pediatric Center Inc has been issued the NPI (National Provider Identifier) 1619152402, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you please provide the complete physical location address of Pacific Coast Pediatric Center Inc?

The Pacific Coast Pediatric Center Inc is physically situated at 252 Green Valley Rd, in the city of Freedom, state of CA, with the postal code 950193138.

What is the Pacific Coast Pediatric Center Inc's specialty and taxonomy code?

The Pacific Coast Pediatric Center Inc's specialty is Pediatrics, and the corresponding taxonomy code is 208000000X.

When did the Pacific Coast Pediatric Center Inc receive its 1619152402?

The Pacific Coast Pediatric Center Inc was issued its 1619152402 on 2007-12-31, which is the date when the organization was assigned this unique identifier.

When was the information related to Pacific Coast Pediatric Center Inc most recently updated or refreshed?

The details pertaining to the Pacific Coast Pediatric Center Inc, including its address, specialty, and other relevant information, were last updated or refreshed on 2008-01-01.

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