National Provider Identifier Database

KIDS DOC OF SOUTHERN CALIFORNIA MEDICAL GROUP INC
Pediatrics

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.


Contact Information

KIDS DOC OF SOUTHERN CALIFORNIA MEDICAL GROUP, INC.
27800 MEDICAL CENTER RD SUITE 204
MISSION VIEJO, CA92691
Phone: 949-682-4750
Fax: 949-682-4751
Website:
Specialty Taxonomy Code
* Pediatrics 208000000X

* Indicates primary specialty

NPI Profile & details for KIDS DOC OF SOUTHERN CALIFORNIA MEDICAL GROUP, INC.

NPI Number 1013966670
Legal business name
LBN
KIDS DOC OF SOUTHERN CALIFORNIA MEDICAL GROUP, INC.
Authorized official MARY ANN WILKINSON - (TREASURER)
Entity Organization
Organization subpart No
Enumeration date 05/09/2006
Last updated 11/03/2016 - About 10 years ago
Sole proprietor1 Not specified
Identifiers n/a

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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