Childs, Tracey R

Childs, Tracey R is an individual health care provider with primary practice located at 2001 Santa Monica Blvd Ste 680W , Santa Monica CA 90404-2111. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Colon & Rectal Surgery, Allopathic & Osteopathic Physicians / Surgery. Allopathic & Osteopathic Physicians / Surgery is her primary health care specialty. Childs, Tracey R can be contacted via phone (310) 829-8928.

Contact Information

Primary practice address
2001 Santa Monica Blvd Ste 680W Santa Monica CA 90404-2111
Phone: (310) 829-8928
Fax: (310) 315-6157
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Colon & Rectal Surgery 208C00000X G73993 California
Allopathic & Osteopathic Physicians / Surgery 208600000X G73993 California

Profile Details

NPI number 1114999489
LBN Legal business name Childs, Tracey R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 2nd, 2006
Last updated Apr 21st, 2023 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1114999489 NPPES
California MEDICAID 1114999489
California Other 00G739930

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