# PEDIATRIC WELLNESS PARTNERS, A PROFESSIONAL NURSING CORPORATION

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

## Provider details

- **NPI number:** 1104684612
- **Authorized official:** KIMBERLY J. ERLICH NP (FOUNDER/NURSE PRACTITIONER)
- **Authorized official phone:** (650) 910-4708

## Contact information

- **Practice address:** 974 RALSTON AVE STE 4, BELMONT, CA 94002-2249
- **Practice address phone:** (650) 910-4708
- **Practice address fax:** (650) 412-7648
- **Mailing address:** 974 RALSTON AVE STE 4, BELMONT, CA 94002-2249
- **Mailing address phone:** (650) 910-4708
- **Mailing address fax:** (650) 412-7648

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LP0200X | Pediatric Nurse Practitioner | — | NULL | Yes |
| 363LP0200X | Pediatric Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 03/08/2024
- **Last updated:** 09/21/2026
