Valle Verde Pediatrics Medical Group

LBN: Valle Verde Pediatrics Medical Group
Valle Verde Pediatrics Medical Group is an health care organization with primary practice located at 15525 Pomerado Road #B1, Poway CA 92064-2465. The organization recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Pediatrics is the primary health care specialty. Valle Verde Pediatrics Medical Group can be contacted via phone (858) 487-8333, or through Rendler, Nathan via phone (858) 487-8333.

Contact Information

Primary practice address
15525 Pomerado Road #B1 Poway CA 92064-2465
Phone: (858) 487-8333
Fax: (858) 487-0856
Website:
Map and Directions
Authorized official contact:
Name: Rendler, Nathan Doctor of Medicine (MD)
Phone: (858) 487-8333

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 00G642310 California
Allopathic & Osteopathic Physicians / Pediatrics 208000000X FNP18257 California

Profile Details

NPI number 1326131079
LBN Legal business name Valle Verde Pediatrics Medical Group
DBA Doing business as
Authorized official Rendler, Nathan Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Oct 2nd, 2006
Last updated Jan 28th, 2011 - about 13 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 1326131079 NPPES
California MEDICAID 1326131079

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