Memorial Pediatrics in Huntington Beach - Primary Care
Memorial Pediatrics - NPI 1073664504
Memorial Pediatrics is a Primary Care in Huntington Beach, California. Memorial Pediatrics practices all healthcare services and medical treatments related to Primary Care. The NPI Number for Memorial Pediatrics is 1073664504. The last update date is 2020-08-22.
Memorial Pediatrics's current location address is 6042 Bolsa Ave, Huntington Beach, California. You can contact this provider via phone number 7148981448 and fax number 7148988864. The mailing address for Memorial Pediatrics is 6042 Bolsa Ave, Huntington Beach, California. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Memorial Pediatrics |
|---|---|
| Address | 6042 Bolsa Ave, Huntington Beach, California |
| Phone Number | 7148981448 |
| Fax Number | 7148988864 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Vergara Rafael |
| Credentials | M.D. |
| Telephone Number | 7148981448 |
NPI Number Detail
| NPI Number | 1073664504 |
|---|---|
| Provider Enumeration Date | 2007-01-12 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 6042 Bolsa Ave |
|---|---|
| City | Huntington Beach |
| State | California (CA) |
| Post Code | 926472443 |
| Phone Number | 7148981448 |
| Fax Number | 7148988864 |
Provider's Primary Taxonomy Detail
| Speciality | Primary Care |
|---|---|
| Taxonomy | 261Qp2300X |
| Licence No | A52192 |
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Definition: Serves as the first point of contact for comprehensive healthcare services. |
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Post Comment/ Review Below
What is the unique 10-digit identification code issued to Memorial Pediatrics by the Centers for Medicare & Medicaid Services?
The Memorial Pediatrics has been assigned the NPI (National Provider Identifier) 1073664504 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please share the complete physical location address where Memorial Pediatrics's facilities are situated?
The facilities of Memorial Pediatrics are physically located at the following address: 6042 Bolsa Ave, Huntington Beach, CA, 926472443.
What is the Memorial Pediatrics's specialty and taxonomy code?
The Memorial Pediatrics's specialty is Primary Care, and the corresponding taxonomy code is 261Qp2300X.
On what date was the 1073664504 assigned to Memorial Pediatrics?
The Memorial Pediatrics was issued its 1073664504 on 2007-01-12, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the Memorial Pediatrics's details last updated?
The information pertaining to the Memorial Pediatrics, including its address, specialty, and other details, was most recently updated on 2020-08-22.
NPI Number: 1982607784
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