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Contact Information

SOUTH COAST PEDIATRICS
1720 W BALL RD
STE.#1
ANAHEIM, CA92804-5500
 Phone: 714-991-5141
 Fax: 714-991-5144
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Adolescent Medicine

2080A0000X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for SOUTH COAST PEDIATRICS · (Female)

NPI Number 1891860748
Status Active
Credentials
Entity Individual
Enumeration date 11/22/2006
Last updated 12/08/2011 - About 14 years ago
Sole proprietor 1 Not specified
Identifiers Not Available
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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