# CALIFORNIA NEONATOLOGY SERVICES A MEDICAL CORPORATION

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

## Provider details

- **NPI number:** 1144841214
- **Authorized official:** KATHLEN KONDAS (AO/OFFICER)
- **Authorized official phone:** (973) 251-1132

## Contact information

- **Practice address:** 600 N HIGHLAND SPRINGS AVE, BANNING, CA 92220-3046
- **Practice address phone:** (951) 845-1121
- **Mailing address:** 5565 CENTERVIEW DR STE 107, RALEIGH, NC 27606-3563
- **Mailing address phone:** (973) 251-1132

## Taxonomy

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

## Other

- **Enumeration date:** 04/30/2020
- **Last updated:** 04/30/2020