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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 Specialty Code Provider Type

Pediatrics

208000000X 37 Physician/Pediatric Medicine
Indicates primary specialty

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

NPI # 1013966670
LBN Legal business name KIDS DOC OF SOUTHERN CALIFORNIA MEDICAL GROUP, INC.
Authorized official MARY ANN WILKINSON - (TREASURER)
Entity Organization
Organization subpart 1 No
Enumeration date 05/09/2006
Last updated 11/03/2016 - About 10 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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