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Contact Information

KIDS DOC OF SOUTHERN CALIFORNIA MEDICAL GROUP, INC.
27800 MEDICAL CENTER RD SUITE 204
MISSION VIEJO, CA92691
 Phone: 949-682-4750
 Fax: 949-682-4751
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatrics

208000000X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for KIDS DOC OF SOUTHERN CALIFORNIA MEDICAL GROUP INC · (Female)

NPI # 1013966670
Status Active
Credentials
Entity Individual
Enumeration date 05/09/2006
Last updated 11/03/2016 - About 10 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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