South East Bay Pediatric Med Group

LBN: South East Bay Pediatric Med Group
South East Bay Pediatric Med Group is an health care organization with primary practice located at 2191 Mowry Ave Ste 600C, Fremont CA 94538. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as the primary health care specialty. South East Bay Pediatric Med Group can be contacted via phone (510) 792-4373, or through Friedkin, Stephen via phone (510) 792-4373.

Contact Information

Primary practice address
2191 Mowry Ave Ste 600C Fremont CA 94538
Phone: (510) 792-4373
Fax: (510) 792-3420
Website:
Map and Directions
Authorized official contact:
Name: Friedkin, Stephen MD CEO
Phone: (510) 792-4373

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X

Profile Details

NPI number 1427109297
LBN Legal business name South East Bay Pediatric Med Group
DBA Doing business as
Authorized official Friedkin, Stephen MD CEO
Entity Organization
Organization subpart 1 No
Enumeration date Jan 16th, 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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