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Organization
PALMDALE PEDIATRIC CENTER INC
Active
Organization
PALMDALE PEDIATRIC CENTER INC
Active
Other names
PALMDALE PEDIATRIC CENTER PPC
Organization subpart
No
Provider details
NPI number
Authorized official
ESSAM HASSAN ELSHEWI MD (PRESIDENT)
(661) 721-5211
Entity
Organization
Contact information
Practice address
2271 E PALMDALE BLVD, SUITE#E1, PALMDALE, CA 93550-1340
(661) 538-9922
(661) 538-9199
Mailing address
2271 E PALMDALE BLVD, SUITE#E1, PALMDALE, CA 93550-1340
(661) 538-9922
(661) 538-9199
Taxonomy
Speciality
Code
Description
License number
State
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
—
—
Other
Enumeration date
11/10/2009
Last updated
11/10/2009
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