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
TLC PEDIATRICS MEDICAL GROUP
Active
Organization
TLC PEDIATRICS MEDICAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSIANE SUZANNE DAGOSTINO CMM (MEDICAL MANAGER)
(949) 493-1383
Entity
Organization
Contact information
Practice address
30210 RANCHO VIEJO RD, SUITE A, SAN JUAN CAPISTRANO, CA 92675-1574
(949) 493-7337
(949) 493-1418
Mailing address
30210 RANCHO VIEJO RD, SUITE A, SAN JUAN CAPISTRANO, CA 92675-1574
(949) 493-7337
(949) 493-1418
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0081160
—
CA
Enumeration date
04/05/2006
Last updated
07/21/2022
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