is a Adolescent Medicine in Rocklin, California. practices all healthcare services and medical treatments related to Adolescent Medicine. The NPI Number for is 1215048178. The last update date is .
's current location address is 3050 Black Oak Dr, Rocklin, California. You can contact this provider via phone number 9164355845 and fax number 9164355845. The mailing address for is 3050 Black Oak Dr, Rocklin, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | |
|---|---|
| Address | 3050 Black Oak Dr, Rocklin, California |
| Phone Number | 9164355845 |
| Fax Number | 9164355845 |
| Sole Proprietor | -- |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1215048178 |
|---|---|
| Provider Enumeration Date | |
| Last Updated Date |
Provider Mailing Address Detail
| Address | 3050 Black Oak Dr |
|---|---|
| City | Rocklin |
| State | California (CA) |
| Post Code | 957654650 |
| Phone Number | 9164355845 |
| Fax Number | 9164355845 |
Provider's Primary Taxonomy Detail
| Speciality | Adolescent Medicine |
|---|---|
| Taxonomy | 2080A0000X |
| Licence No | A78461 |
|
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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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 00A78461 | CA | -- |
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