Penn, Kanaya, Dwelle, Md'S in Monterey - Pediatrics

Penn, Kanaya, Dwelle, Md'S - NPI 1053417212

Penn, Kanaya, Dwelle, Md'S is a Pediatrics in Monterey, California. Penn, Kanaya, Dwelle, Md'S practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Penn, Kanaya, Dwelle, Md'S is 1053417212. The last update date is 2010-06-25.

Penn, Kanaya, Dwelle, Md'S's current location address is 1900 Garden Rd, Monterey, California. You can contact this provider via phone number 8313725841 and fax number 8313724820. The mailing address for Penn, Kanaya, Dwelle, Md'S is 1900 Garden Rd, Monterey, California. To know further, please read the information below!

Provider Profile Detail

Provider Organization Penn, Kanaya, Dwelle, Md'S
Address 1900 Garden Rd, Monterey, California
Phone Number 8313725841
Fax Number 8313724820
Sole Proprietor --
Credentials --

Authorized Official

Title or Position EXECUTIVE
Authorized Official Name Stark L Kathie
Telephone Number 8313725841

NPI Number Detail

NPI Number 1053417212
Provider Enumeration Date 2006-09-15
Last Updated Date 2010-06-25

Provider Mailing Address Detail

Address 1900 Garden Rd
City Monterey
State California (CA)
Post Code 939405373
Phone Number 8313725841
Fax Number 8313724820

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
1053417212 CA --

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FAQs about Penn, Kanaya, Dwelle, Md'S

What is the unique identification code assigned to Penn, Kanaya, Dwelle, Md'S by the Centers for Medicare & Medicaid Services?

The Penn, Kanaya, Dwelle, Md'S has been issued the NPI (National Provider Identifier) 1053417212. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you kindly provide the complete physical address where Penn, Kanaya, Dwelle, Md'S's facilities are geographically located?

The facilities of Penn, Kanaya, Dwelle, Md'S are physically situated at the following location: 1900 Garden Rd, Monterey, CA, 939405373.

What is the Penn, Kanaya, Dwelle, Md'S's specialty and taxonomy code?

The Penn, Kanaya, Dwelle, Md'S's specialty is Pediatrics, and the corresponding taxonomy code is 208000000X.

On what date did the Penn, Kanaya, Dwelle, Md'S receive the assignment of its 1053417212 from the Centers for Medicare & Medicaid Services?

The Penn, Kanaya, Dwelle, Md'S was issued its 1053417212 by the Centers for Medicare & Medicaid Services on 2006-09-15.

When was the information pertaining to Penn, Kanaya, Dwelle, Md'S most recently updated or revised?

The details related to Penn, Kanaya, Dwelle, Md'S, including its address, specialty, and other relevant information, were last updated or revised on 2010-06-25.

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