Sky Pediatric, Inc. in Irvine - Pediatrics
Sky Pediatric, Inc. - NPI 1790755064
Sky Pediatric, Inc. is a Pediatrics in Irvine, California. Sky Pediatric, Inc. practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Sky Pediatric, Inc. is 1790755064. The last update date is 2020-08-22.
Sky Pediatric, Inc.'s current location address is 1929 Main St, Irvine, California. You can contact this provider via phone number 9497979007 and fax number 9497979234. The mailing address for Sky Pediatric, Inc. is 1929 Main St, Irvine, California. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Sky Pediatric, Inc. |
|---|---|
| Address | 1929 Main St, Irvine, California |
| Phone Number | 9497979007 |
| Fax Number | 9497979234 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | ADMINISTRA |
|---|---|
| Authorized Official Name | Lundblade Susan |
| Telephone Number | 9497979007 |
NPI Number Detail
| NPI Number | 1790755064 |
|---|---|
| Provider Enumeration Date | 2006-01-26 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 1929 Main St |
|---|---|
| City | Irvine |
| State | California (CA) |
| Post Code | 926140509 |
| Phone Number | 9497979007 |
| Fax Number | 9497979234 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatrics |
|---|---|
| Taxonomy | 2251P0200X |
|
Definition: A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Pediatric Physical Therapy, who has demonstrated specialized knowledge and skill in anatomy, histology, including embryonic development, |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| ZZZ36141Z | CA | BLUE SHIELD | |
| ZZZ65557Z | CA | BLUE SHIELD |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Sky Pediatric, Inc. by the Centers for Medicare & Medicaid Services?
The Sky Pediatric, Inc. has been issued the NPI (National Provider Identifier) 1790755064 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 address where Sky Pediatric, Inc. is geographically located?
The Sky Pediatric, Inc. is physically situated at the following location: 1929 Main St, Irvine, CA, 926140509.
What is the Sky Pediatric, Inc.'s specialty and taxonomy code?
The Sky Pediatric, Inc.'s specialty is Pediatrics, and the corresponding taxonomy code is 2251P0200X.
On what date did the Centers for Medicare & Medicaid Services issue the 1790755064 to Sky Pediatric, Inc.?
The Sky Pediatric, Inc. received its 1790755064 assignment from the Centers for Medicare & Medicaid Services on 2006-01-26.
As of what date were the Sky Pediatric, Inc.'s details last updated?
The information pertaining to the Sky Pediatric, Inc., including its address, specialty, and other details, was most recently updated on 2020-08-22.