Kiddox Medical Group, Inc.

LBN: Kiddox Medical Group, Inc.
Kiddox Medical Group, Inc. is an health care organization with primary practice located at 1245 16Th St #305, Santa Monica CA 90404-1235. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as the primary health care specialty. Kiddox Medical Group, Inc. can be contacted via phone (310) 453-9010, or through Bourne, Jeffrey Philip via phone (310) 453-9010.

Contact Information

Primary practice address
1245 16Th St #305 Santa Monica CA 90404-1235
Phone: (310) 453-9010
Fax: (310) 828-3661
Website:
Map and Directions
Authorized official contact:
Name: Bourne, Jeffrey Philip Doctor of Medicine (MD)
Phone: (310) 453-9010

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X G24539 California

Profile Details

NPI number 1255479408
LBN Legal business name Kiddox Medical Group, Inc.
DBA Doing business as
Authorized official Bourne, Jeffrey Philip Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Feb 1st, 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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