National Provider Identifier Database

PEDIATRIC PARTNERS MEDICAL PROFESSIONAL CORPORATION
Adolescent Medicine

A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.


Contact Information

PEDIATRIC PARTNERS MEDICAL PROFESSIONAL CORPORATION
900 N HERITAGE DR
BLDG. A
RIDGECREST, CA93555-5536
Phone: 951-252-8588
Fax: 951-252-8589
Website:
Specialty Taxonomy Code
* Adolescent Medicine 2080A0000X

* Indicates primary specialty

NPI Profile & details for PEDIATRIC PARTNERS MEDICAL PROFESSIONAL CORPORATION

NPI Number 1154554608
Legal business name
LBN
PEDIATRIC PARTNERS MEDICAL PROFESSIONAL CORPORATION
Authorized official CHERYL FUCHIGAMI-BOST, RN - (COO)
Entity Organization
Organization subpart No
Enumeration date 09/01/2009
Last updated 09/01/2009 - About 17 years ago
Sole proprietor1 Not specified
Identifiers
  • CA License #: 0900009973

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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