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Organization
PEDIATRIC PARTNERS MEDICAL PROFESSIONAL CORPORATION
Active
Organization
PEDIATRIC PARTNERS MEDICAL PROFESSIONAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHERYL FUCHIGAMI-BOST, RN RN (CHIEF OPERATIONS OFFICER)
(951) 252-8588
Entity
Organization
Contact information
Practice address
1111 N CHINA LAKE BLVD, SUITE 120, RIDGECREST, CA 93555-3131
(760) 446-7337
(760) 446-7338
Mailing address
27699 JEFFERSON AVE, SUITE 300, TEMECULA, CA 92590-2661
(951) 252-8588
(951) 252-8589
Taxonomy
Speciality
Code
Description
License number
State
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
0900009973
CA
Other
Enumeration date
08/11/2010
Last updated
08/11/2010
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