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Contact Information

PACIFIC OCEAN PEDIATRICS
2216 SANTA MONICA BLVD
STE #204
SANTA MONICA, CA90404
 Phone: 310-264-2100
 Fax: 310-264-2108
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatrics

208000000X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for PACIFIC OCEAN PEDIATRICS

NPI Number 1184759599
LBN Legal business name PACIFIC OCEAN PEDIATRICS
Authorized official LISA KESSENICH - (OFFICE MANAGER)
Entity Organization
Organization subpart 1 No
Enumeration date 02/23/2007
Last updated 08/22/2020 - About 6 years ago
Identifiers
CA License # CAG46186
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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