Pediatric Group Of Monterey

LBN: Penn, Kanaya, Dwelle, Md'S
Pediatric Group Of Monterey is an health care organization with primary practice located at 1900 Garden Rd Ste 110 , Monterey CA 93940-5334. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as the primary health care specialty. Penn, Kanaya, Dwelle, Md'S can be contacted via phone (831) 372-5841, or through Stark, Kathie L via phone (831) 372-5841.

Contact Information

Primary practice address
1900 Garden Rd Ste 110 Monterey CA 93940-5334
Phone: (831) 372-5841
Fax: (831) 372-4820
Website:
Map and Directions
Authorized official contact:
Name: Stark, Kathie L
Phone: (831) 372-5841

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X

Profile Details

NPI number 1053417212
LBN Legal business name Penn, Kanaya, Dwelle, Md'S
DBA Doing business as Pediatric Group Of Monterey
Authorized official Stark, Kathie L
Entity Organization
Organization subpart 1 Yes
Enumeration date Sep 15th, 2006
Last updated Jun 25th, 2010 - about 14 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 1053417212 NPPES
California MEDICAID 1053417212

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