Pediatric Surgical Associates Of The East Bay in Pacheco - Pediatric Surgery
Pediatric Surgical Associates Of The East Bay - NPI 1619932209
Pediatric Surgical Associates Of The East Bay is a Pediatric Surgery in Pacheco, California. Pediatric Surgical Associates Of The East Bay practices all healthcare services and medical treatments related to Pediatric Surgery. The NPI Number for Pediatric Surgical Associates Of The East Bay is 1619932209. The last update date is 2011-05-19.
Pediatric Surgical Associates Of The East Bay's current location address is 5528 Pacheco Blvd, Pacheco, California. You can contact this provider via phone number 9253638170 and fax number 9253638178. The mailing address for Pediatric Surgical Associates Of The East Bay is 5528 Pacheco Blvd, Pacheco, California. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Pediatric Surgical Associates Of The East Bay |
|---|---|
| Address | 5528 Pacheco Blvd, Pacheco, California |
| Phone Number | 9253638170 |
| Fax Number | 9253638178 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | MANAGING P |
|---|---|
| Authorized Official Name | Kim Sunghoon |
| Credentials | M.D. |
| Telephone Number | 5104283017 |
NPI Number Detail
| NPI Number | 1619932209 |
|---|---|
| Provider Enumeration Date | 2006-04-18 |
| Last Updated Date | 2011-05-19 |
Provider Mailing Address Detail
| Address | 5528 Pacheco Blvd |
|---|---|
| City | Pacheco |
| State | California (CA) |
| Post Code | 945535154 |
| Phone Number | 9253638170 |
| Fax Number | 9253638178 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatric Surgery |
|---|---|
| Taxonomy | 2086S0120X |
|
Definition: A surgeon with expertise in the management of surgical conditions in premature and newborn infants, children and adolescents. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| GR0086800 | CA | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Pediatric Surgical Associates Of The East Bay by the Centers for Medicare & Medicaid Services?
The Pediatric Surgical Associates Of The East Bay has been issued the NPI (National Provider Identifier) 1619932209 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you provide the complete physical address where Pediatric Surgical Associates Of The East Bay is located?
The Pediatric Surgical Associates Of The East Bay is situated at the following address: 5528 Pacheco Blvd, Pacheco, CA, 945535154.
What is Pediatric Surgical Associates Of The East Bay's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Pediatric Surgical Associates Of The East Bay is Pediatric Surgery, and the taxonomy classification code that categorizes this area of expertise is 2086S0120X.
When did Pediatric Surgical Associates Of The East Bay receive its 1619932209 assignment?
The Pediatric Surgical Associates Of The East Bay was assigned its 1619932209 on 2006-04-18, which is the date when this unique identifier was issued to the organization.
As of what date were the details related to Pediatric Surgical Associates Of The East Bay most recently updated or revised?
The information pertaining to Pediatric Surgical Associates Of The East Bay, including its address, specialty, and other relevant details, was last updated or revised on 2011-05-19.
NPI Number: 1982607784
Address: 54045 Ridge Rd, Yucca Valley, CA