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Organization
KREPAK PEDIATRICS, INC.
Active
Organization
KREPAK PEDIATRICS, INC.
Active
Other names
Donna Krepak, D.O., F.A.A.P.
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DONNA KREPAK D.O. (PRESIDENT)
(951) 506-6554
Entity
Organization
Contact information
Practice address
29645 RANCHO CALIFORNIA RD, SUITE 210, TEMECULA, CA 92591-6200
(951) 506-6554
(951) 506-6574
Mailing address
29645 RANCHO CALIFORNIA RD, SUITE 210, TEMECULA, CA 92591-6200
(951) 506-6554
(951) 506-6574
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
20A7199
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00AX71990
MEDI-CAL
CA
Enumeration date
08/03/2009
Last updated
06/20/2013
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