Pediatric Care Medical Group, Inc.

LBN: Pediatric Care Medical Group, Inc.
Pediatric Care Medical Group, Inc. is an health care organization with primary practice located at 17822 Beach Blvd Suite 278, Huntington Beach CA 92647-7101. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as the primary health care specialty. Pediatric Care Medical Group, Inc. can be contacted via phone (714) 842-1441, or through Qaqundah, Paul Y via phone (714) 842-1441.

Contact Information

Primary practice address
17822 Beach Blvd Suite 278 Huntington Beach CA 92647-7101
Phone: (714) 842-1441
Fax: (714) 843-0394
Website:
Map and Directions
Authorized official contact:
Name: Qaqundah, Paul Y Doctor of Medicine (MD)
Phone: (714) 842-1441

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X A24153 California

Profile Details

NPI number 1851337356
LBN Legal business name Pediatric Care Medical Group, Inc.
DBA Doing business as
Authorized official Qaqundah, Paul Y Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 22nd, 2006
Last updated Aug 22nd, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1851337356 NPPES
California MEDICAID GR0025680

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