Shadow Management Services, Inc. in Irvine - Pediatrics
Shadow Management Services, Inc. - NPI 1780718221
Shadow Management Services, Inc. is a Pediatrics in Irvine, California. Shadow Management Services, Inc. practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Shadow Management Services, Inc. is 1780718221. The last update date is 2020-08-22.
Shadow Management Services, Inc.'s current location address is 45 Parker Ste C, Irvine, California. You can contact this provider via phone number 9498550100 and fax number 9498550134. The mailing address for Shadow Management Services, Inc. is 45 Parker Ste C, Irvine, California. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Shadow Management Services, Inc. |
|---|---|
| Address | 45 Parker Ste C, Irvine, California |
| Phone Number | 9498550100 |
| Fax Number | 9498550134 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Vonduering Aubrey Jacob |
| Telephone Number | 9498550100 |
NPI Number Detail
| NPI Number | 1780718221 |
|---|---|
| Provider Enumeration Date | 2007-03-15 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 45 Parker Ste C |
|---|---|
| City | Irvine |
| State | California (CA) |
| Post Code | 926181656 |
| Phone Number | 9498550100 |
| Fax Number | 9498550134 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatrics |
|---|---|
| Taxonomy | 2251P0200X |
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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, |
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What is the unique 10-digit identification code assigned to Shadow Management Services, Inc. by the Centers for Medicare & Medicaid Services?
The Shadow Management Services, Inc. has been issued the NPI (National Provider Identifier) 1780718221, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where Shadow Management Services, Inc. is geographically located?
The Shadow Management Services, Inc. is physically situated at the following location: 45 Parker Ste C, Irvine, CA, 926181656.
What is Shadow Management Services, Inc.'s area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Shadow Management Services, Inc. is Pediatrics, and the taxonomy code that categorizes this field of expertise is 2251P0200X.
When did the Shadow Management Services, Inc. receive its 1780718221?
The Shadow Management Services, Inc. was issued its 1780718221 on 2007-03-15, which is the date when the organization was assigned this unique identifier.
When was the Shadow Management Services, Inc.'s information last updated?
The Shadow Management Services, Inc.'s information was last updated on 2020-08-22.
NPI Number: 1215930573
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