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Contact Information

MISSION CARE PEDIATRICS,INC.
2170 E BIDWELL ST
SUITE NUMBER 100
FOLSOM, CA95630-6453
 Phone: 916-983-8696
 Fax: 916-983-8694
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Adolescent Medicine

2080A0000X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for MISSION CARE PEDIATRICSINC · (Female)

NPI # 1740343961
Status Active
Credentials
Entity Individual
Enumeration date 12/19/2006
Last updated 08/22/2020 - About 6 years ago
Sole proprietor 1 Not specified
Identifiers
  • CA License # A82372
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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