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Contact Information

PEDIATRIC PARTNERS MEDICAL PROFESSIONAL CORPORATION
900 N HERITAGE DR
BLDG. A
RIDGECREST, CA93555-5536
 Phone: 951-252-8588
 Fax: 951-252-8589
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Adolescent Medicine

2080A0000X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for PEDIATRIC PARTNERS MEDICAL PROFESSIONAL CORPORATION · (Female)

NPI Number 1154554608
Status Active
Credentials
Entity Individual
Enumeration date 09/01/2009
Last updated 09/01/2009 - About 17 years ago
Sole proprietor 1 Not specified
Identifiers
  • CA License # 0900009973
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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