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.
Organization
KIDDOX MEDICAL GROUP, INC.
Active
Organization
KIDDOX MEDICAL GROUP, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEFFREY PHILIP BOURNE M.D. (SECRETARY)
(310) 453-9010
Entity
Organization
Contact information
Practice address
1245 16TH ST, #305, SANTA MONICA, CA 90404-1235
(310) 453-9010
(310) 828-3661
Mailing address
1245 16TH ST, #305, SANTA MONICA, CA 90404-1235
(310) 453-9010
(310) 828-3661
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
G24539
CA
Other
Enumeration date
02/01/2007
Last updated
08/22/2020
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up