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Contact Information

DOCS FOR(4) KIDS MEDICAL OFFICE
13372 NEWPORT AVE
SUITE B
TUSTIN, CA92780-3426
 Phone: 714-544-3430
 Fax: 714-573-8330
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Adolescent Medicine

2080A0000X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for DOCS FOR(4) KIDS MEDICAL OFFICE

NPI # 1972959898
LBN Legal business name DOCS FOR(4) KIDS MEDICAL OFFICE
Authorized official SANGEETA PATEL - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 05/10/2016
Last updated 05/16/2016 - About 10 years ago
Identifiers
CA License # A49867
CA Medicaid 00A49867
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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