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Organization
VALLE VERDE PEDIATRICS MEDICAL GROUP
Active
Organization
VALLE VERDE PEDIATRICS MEDICAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NATHAN RENDLER M.D. (PRESIDENT)
(858) 487-8333
Entity
Organization
Contact information
Practice address
15525 POMERADO ROAD, #B1, POWAY, CA 92064-2465
(858) 487-8333
(858) 487-0856
Mailing address
15525 POMERADO ROAD, #B1, POWAY, CA 92064-2465
(858) 487-8333
(858) 487-0856
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
00G642310
CA
208000000X
Pediatrics Physician
Primary
FNP18257
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1326131079
—
CA
Enumeration date
10/02/2006
Last updated
01/28/2011
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