The Ida Karlin Pediatric Center

LBN: The Ida Karlin Pediatric Center
The Ida Karlin Pediatric Center is an health care organization with primary practice located at 319 5Th St Sw , Puyallup WA 98371-5828. The organization recently has 5 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Psychologist, Allopathic & Osteopathic Physicians / Pediatrics, Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Allopathic & Osteopathic Physicians / Pediatrics is the primary health care specialty. The Ida Karlin Pediatric Center can be contacted via phone (253) 848-0351, or through Penalver, Ovidio via phone (253) 848-0351.

Contact Information

Primary practice address
319 5Th St Sw Puyallup WA 98371-5828
Phone: (253) 848-0351
Fax: (253) 841-1397
Website:
Map and Directions
Authorized official contact:
Name: Penalver, Ovidio Doctor of Medicine (MD)
Phone: (253) 848-0351

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X LH60394287 Washington
Behavioral Health & Social Service Providers / Psychologist 103T00000X PY60385056 Washington
Allopathic & Osteopathic Physicians / Pediatrics 208000000X MD00015660 Washington
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X AP60312846 Washington
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X AP60311598 Washington

Profile Details

NPI number 1366657918
LBN Legal business name The Ida Karlin Pediatric Center
DBA Doing business as
Authorized official Penalver, Ovidio Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date May 14th, 2007
Last updated Dec 23rd, 2015 - about 9 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 1366657918 NPPES
Washington MEDICAID 7110653

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