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Organization
PEDIATRIC PHYSICIANS GROUP INC
Active
Organization
PEDIATRIC PHYSICIANS GROUP INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANIEL FRASCHETTI D.O. (PRESIDENT)
(760) 369-9220
Entity
Organization
Contact information
Practice address
79-180 CORPORATE CIRCLE DR., SUITE 103, LA QUINTA, CA 92253-7235
(760) 777-7300
(760) 777-7707
Mailing address
79-180 CORPORATE CIRCLE DR., SUITE 103, LA QUINTA, CA 92253-7235
(760) 777-7300
(760) 777-7707
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
20A8445
CA
Other
Enumeration date
06/25/2015
Last updated
06/25/2015
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