Clinica Medica Pediatrica Inc

LBN: Clinica Medica Pediatrica Inc
Clinica Medica Pediatrica Inc is an health care organization with primary practice located at 3802 National Ave , San Diego CA 92113-3223. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine, which is considered as the primary health care specialty. Clinica Medica Pediatrica Inc can be contacted via phone (619) 264-2591, or through Eyzaguirre, Mario E via phone (619) 264-2591.

Contact Information

Primary practice address
3802 National Ave San Diego CA 92113-3223
Phone: (619) 264-2591
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Eyzaguirre, Mario E Doctor of Medicine (MD)
Phone: (619) 264-2591

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine 2080P0203X A42572 California

Profile Details

NPI number 1649451493
LBN Legal business name Clinica Medica Pediatrica Inc
DBA Doing business as
Authorized official Eyzaguirre, Mario E Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Nov 20th, 2007
Last updated Nov 20th, 2007 - about 17 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1649451493 NPPES
California MEDICAID 00A425720

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