South Coast Pediatrics in Anaheim - Adolescent Medicine

South Coast Pediatrics - NPI 1891860748

South Coast Pediatrics is a Adolescent Medicine in Anaheim, California. South Coast Pediatrics practices all healthcare services and medical treatments related to Adolescent Medicine. The NPI Number for South Coast Pediatrics is 1891860748. The last update date is 2011-12-08.

South Coast Pediatrics's current location address is 1720 W Ball Rd, Anaheim, California. You can contact this provider via phone number 7149915141. The mailing address for South Coast Pediatrics is 1720 W Ball Rd, Anaheim, California. To know further, please read the information below!

Provider Profile Detail

Provider Organization South Coast Pediatrics
Address 1720 W Ball Rd, Anaheim, California
Phone Number 7149915141
Fax Number
Sole Proprietor --
Credentials --

Authorized Official

Title or Position PRESIDENT
Authorized Official Name Wolsztejn Jacob
Credentials M.D.
Telephone Number 7149915141

NPI Number Detail

NPI Number 1891860748
Provider Enumeration Date 2006-11-22
Last Updated Date 2011-12-08

Provider Mailing Address Detail

Address 1720 W Ball Rd
City Anaheim
State California (CA)
Post Code 928045500
Phone Number 7149915141
Fax Number

Provider's Primary Taxonomy Detail

Speciality Adolescent Medicine
Taxonomy 2080A0000X
Definition:
A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.

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FAQs about South Coast Pediatrics

What is the unique 10-digit identifier code assigned to South Coast Pediatrics by the Centers for Medicare & Medicaid Services?

The South Coast Pediatrics has been issued the NPI (National Provider Identifier) 1891860748 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Could you please share the complete physical location address where South Coast Pediatrics's facilities are situated?

The facilities of South Coast Pediatrics are physically located at the following address: 1720 W Ball Rd, Anaheim, CA, 928045500.

What is the South Coast Pediatrics's area of specialization and corresponding taxonomy classification?

The South Coast Pediatrics's specialty field is Adolescent Medicine, and it falls under the taxonomy code 2080A0000X, which categorizes healthcare providers based on their specialties.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1891860748 to South Coast Pediatrics?

The Centers for Medicare & Medicaid Services originally issued the 1891860748 to South Coast Pediatrics on 2006-11-22.

When was the South Coast Pediatrics's information last updated?

The South Coast Pediatrics's information was last updated on 2011-12-08.

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