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Contact Information

VALLEY PEDIATRIC MEDICAL GROUP,INC.
5353 BALBOA BLVD
SUITE 104
ENCINO, CA91316-2804
 Phone: 818-789-7181
 Fax: 818-986-8322
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Adolescent Medicine

2080A0000X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for VALLEY PEDIATRIC MEDICAL GROUP,INC.

NPI Number 1790858124
LBN Legal business name VALLEY PEDIATRIC MEDICAL GROUP,INC.
Authorized official KARYN YOUNG - (CREDENTIALING MANAGER)
Entity Organization
Organization subpart 1 No
Enumeration date 11/15/2006
Last updated 08/22/2020 - About 6 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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