South East Bay Pediatric Med Group in Fremont - Pediatrics

South East Bay Pediatric Med Group - NPI 1427109297

South East Bay Pediatric Med Group is a Pediatrics in Fremont, California. South East Bay Pediatric Med Group practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for South East Bay Pediatric Med Group is 1427109297. The last update date is 2020-08-22.

South East Bay Pediatric Med Group's current location address is 2191 Mowry Ave, Fremont, California. You can contact this provider via phone number 5107924373 and fax number 5107923420. The mailing address for South East Bay Pediatric Med Group is 2191 Mowry Ave, Fremont, California. To know further, please read the information below!

Provider Profile Detail

Provider Organization South East Bay Pediatric Med Group
Address 2191 Mowry Ave, Fremont, California
Phone Number 5107924373
Fax Number 5107923420
Sole Proprietor --
Credentials --

Authorized Official

Title or Position CEO
Authorized Official Name Friedkin Stephen
Credentials MD CEO
Telephone Number 5107924373

NPI Number Detail

NPI Number 1427109297
Provider Enumeration Date 2007-01-16
Last Updated Date 2020-08-22

Provider Mailing Address Detail

Address 2191 Mowry Ave
City Fremont
State California (CA)
Post Code 94538
Phone Number 5107924373
Fax Number 5107923420

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

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FAQs about South East Bay Pediatric Med Group

What is the unique provider identifier assigned to South East Bay Pediatric Med Group?

The South East Bay Pediatric Med Group has been issued the NPI (National Provider Identifier) 1427109297 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you please share the complete physical location address where South East Bay Pediatric Med Group's facilities are situated?

The facilities of South East Bay Pediatric Med Group are physically located at the following address: 2191 Mowry Ave, Fremont, CA, 94538.

What is South East Bay Pediatric Med Group's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The South East Bay Pediatric Med Group's specialized field of practice is Pediatrics, and the corresponding taxonomy code that categorizes this area of specialization is 208000000X.

On what date did South East Bay Pediatric Med Group receive its 1427109297 assignment from the Centers for Medicare & Medicaid Services?

The South East Bay Pediatric Med Group was assigned its 1427109297 on 2007-01-16, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

As of what date were the details related to South East Bay Pediatric Med Group most recently updated or revised?

The information pertaining to South East Bay Pediatric Med Group, including its address, specialty, and other relevant details, was last updated or revised on 2020-08-22.

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