Kids & Teens Medical Group
LBN: Janesri De Silva M.D. A Prof Corp
Kids & Teens Medical Group is an health care organization with primary practice located at 504 S Sierra Madre Blvd , Pasadena CA 91107-5240. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Adolescent Medicine. Allopathic & Osteopathic Physicians / Pediatrics is the primary health care specialty.
Janesri De Silva M.D. A Prof Corp can be contacted via phone (818) 361-5437, or through De Silva, Janesri Wijayangani via phone (818) 361-5437.
Contact Information
Primary practice address
504 S Sierra Madre Blvd
Pasadena CA 91107-5240
Phone: (818) 361-5437
Fax: (626) 406-1800
Website:
Authorized official contact:
Name: De Silva, Janesri Wijayangani Doctor of Medicine (MD)
Phone: (818) 361-5437
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | A88991 | California |
| Allopathic & Osteopathic Physicians / Adolescent Medicine | 2080A0000X | A88991 | California |
Profile Details
| NPI number | 1326278490 |
|---|---|
| LBN Legal business name | Janesri De Silva M.D. A Prof Corp |
| DBA Doing business as | Kids & Teens Medical Group |
| Authorized official | De Silva, Janesri Wijayangani Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jul 22nd, 2009 |
| Last updated | Jun 15th, 2020 - about 5 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1326278490 | NPPES |
| California | MEDICAID | 00A889910 |
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