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
1111 N CHINA LAKE BLVD
SUITE 120
RIDGECREST, CA93555-3131
Phone: 760-446-7337
Fax: 760-446-7338
Website:
Specialty Taxonomy Code
* Adolescent Medicine 2080A0000X

* Indicates primary specialty

NPI Profile & details for PEDIATRIC PARTNERS MEDICAL PROFESSIONAL CORPORATION

NPI Number 1356656664
Legal business name
LBN
PEDIATRIC PARTNERS MEDICAL PROFESSIONAL CORPORATION
Authorized official CHERYL FUCHIGAMI-BOST, RN - (CHIEF OPERATIONS OFFICER)
Entity Organization
Organization subpart No
Enumeration date 08/11/2010
Last updated 08/11/2010 - About 16 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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