Alice Louise Pong in San Diego - Pediatrics
Alice Louise Pong - NPI 1568533313
Alice Louise Pong is a Pediatrics in San Diego, California. Alice Louise Pong practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Alice Louise Pong is 1568533313. The last update date is 2011-11-03.
Alice Louise Pong's current location address is 3020 Childrens Way, San Diego, California. You can contact this provider via phone number 8589667785 and fax number 8589668658. The mailing address for Alice Louise Pong is 3020 Childrens Way, San Diego, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Alice Louise Pong |
|---|---|
| Address | 3020 Childrens Way, San Diego, California |
| Phone Number | 8589667785 |
| Fax Number | 8589668658 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1568533313 |
|---|---|
| Provider Enumeration Date | 2006-11-13 |
| Last Updated Date | 2011-11-03 |
Provider Mailing Address Detail
| Address | 3020 Childrens Way |
|---|---|
| City | San Diego |
| State | California (CA) |
| Post Code | 921234223 |
| Phone Number | 8589667785 |
| Fax Number | 8589668658 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatrics |
|---|---|
| Taxonomy | 208000000X |
| Licence No | G75974 |
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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 |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 00G759740 | CA | -- |
Post Comment/ Review Below
What is the unique identification code assigned to Alice Louise Pong by the Centers for Medicare & Medicaid Services?
The Alice Louise Pong has been issued the NPI (National Provider Identifier) 1568533313. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Alice Louise Pong's facilities are situated?
The facilities of Alice Louise Pong are physically located at the following address: 3020 Childrens Way, San Diego, CA, 921234223.
What is the area of specialization for Alice Louise Pong, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Alice Louise Pong is Pediatrics, and the corresponding taxonomy code that categorizes this area of expertise is 208000000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1568533313 to Alice Louise Pong?
The Alice Louise Pong received its 1568533313 assignment from the Centers for Medicare & Medicaid Services on 2006-11-13.
As of what date was the information regarding Alice Louise Pong, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Alice Louise Pong, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2011-11-03.
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