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Organization
SAN JUAN PEDIATRICS INC
Active
Organization
SAN JUAN PEDIATRICS INC
Active
Parent organization
SAN JUAN PEDIATRICS INC
Other names
San Juan Pediatrics Inc
Organization subpart
Yes
Provider details
NPI number
Legal business name
SAN JUAN PEDIATRICS INC
Authorized official
DR. ASHRAF G. FAHIM MD (OWNER / PHYSICIAN)
(949) 388-9009
Entity
Organization
Contact information
Practice address
27372 CALLE ARROYO, SAN JUAN CAPISTRANO, CA 92675-2746
(949) 388-9009
(949) 388-9665
Mailing address
27372 CALLE ARROYO, SAN JUAN CAPISTRANO, CA 92675-2746
(949) 388-9009
(949) 388-9665
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
GR0105670
CA
Other
Enumeration date
11/09/2007
Last updated
03/15/2024
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