National Provider Identifier Database

PID ASSOCIATES MEDICAL GROUP INC
Pediatric Infectious Diseases

A pediatrician trained to care for children in the diagnosis, treatment and prevention of infectious diseases. This specialist can apply specific knowledge to affect a better outcome for pediatric infections with complicated courses, underlying diseases that predispose to unusual or severe infections, unclear diagnoses, uncommon diseases and complex or investigational treatments.


Contact Information

PID ASSOCIATES MEDICAL GROUP INC
2801 ATLANTIC AVE
LONG BEACH, CA90806-1701
Phone: 562-933-8590
Fax: 562-933-8093
Website:
Specialty Taxonomy Code
* Pediatric Infectious Diseases 2080P0208X

* Indicates primary specialty

NPI Profile & details for PID ASSOCIATES MEDICAL GROUP INC

NPI Number 1386748614
Legal business name
LBN
PID ASSOCIATES MEDICAL GROUP INC
Authorized official AUDRA DEVEIKIS - (MEDICAL DIRECTOR)
Entity Organization
Organization subpart No
Enumeration date 09/08/2006
Last updated 02/12/2019 - About 7 years ago
Sole proprietor1 Not specified
Identifiers
  • CA License #: A40896
  • CA Medicaid: GR0041670
  • CA Other: CGP144665 CCS/CHP NUMBER

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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