# NEWBORN SPECIAL CARE MEDICAL GROUP

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1104066570
- **Authorized official:** SUMITHRA KOMMAREDDY (PRINCIPAL OFFICER/DIRECTOR/OWNER)
- **Authorized official phone:** (949) 492-3514

## Contact information

- **Practice address:** 1720 E CESAR E CHAVEZ AVE, LOS ANGELES, CA 90033-2414
- **Practice address phone:** (323) 268-5000
- **Mailing address:** PO BOX 1359, SAN CLEMENTE, CA 92674-1359
- **Mailing address phone:** (949) 492-3514
- **Mailing address fax:** (949) 366-2390

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2080N0001X | Neonatal-Perinatal Medicine Physician | — | NULL | Yes |
| 2080N0001X | Neonatal-Perinatal Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 02/25/2009
- **Last updated:** 02/25/2009