Culver City Pediatrics

LBN: Culver City Pediatrics
Culver City Pediatrics is an health care organization with primary practice located at 9696 Culver Blvd Suite 108, Culver City CA 90232-2700. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as the primary health care specialty. Culver City Pediatrics can be contacted via phone (310) 204-6897, or through Penso, Jeffrey via phone (310) 204-6897.

Contact Information

Primary practice address
9696 Culver Blvd Suite 108 Culver City CA 90232-2700
Phone: (310) 204-6897
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Penso, Jeffrey Doctor of Medicine (MD)
Phone: (310) 204-6897

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X G19153 California

Profile Details

NPI number 1023151123
LBN Legal business name Culver City Pediatrics
DBA Doing business as
Authorized official Penso, Jeffrey Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Feb 15th, 2007
Last updated Aug 22nd, 2020 - about 4 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 1023151123 NPPES
California MEDICAID GR0102600

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