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Contact Information

IRVINE DOCTORS OF KIDS AND TEENS
4950 BARRANCA PKWY STE 306
IRVINE, CA92604-4631
 Phone: 949-559-5601
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Adolescent Medicine

2080A0000X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for IRVINE DOCTORS OF KIDS AND TEENS · (Female)

NPI Number 1669927125
Status Active
Credentials
Entity Individual
Enumeration date 08/24/2016
Last updated 08/24/2016 - About 10 years ago
Sole proprietor 1 Not specified
Identifiers
  • CA License # G64892
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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