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Contact Information

PID ASSOCIATES MEDICAL GROUP INC
2801 ATLANTIC AVE
LONG BEACH, CA90806-1701
 Phone: 562-933-8590
 Fax: 562-933-8093
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatric Infectious Diseases

2080P0208X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for PID ASSOCIATES MEDICAL GROUP INC · (Female)

NPI Number 1386748614
Status Active
Credentials
Entity Individual
Enumeration date 09/08/2006
Last updated 02/12/2019 - About 7 years ago
Sole proprietor 1 Not specified
Identifiers
  • CA License # A40896
  • CA Medicaid GR0041670
  • CA Other CGP144665 CCS/CHP NUMBER
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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