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Organization
SOUTHERN CALIFRONIA SPECIALISTS, INC
Active
Organization
SOUTHERN CALIFRONIA SPECIALISTS, INC
Active
Other names
Fountain Valley Pediatric Specialists, Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KENNETH KIM M.D. (PRESIDENT)
(714) 506-8094
Entity
Organization
Contact information
Practice address
11190 WARNER AVE, SUITE 307, FOUNTAIN VALLEY, CA 92708-4019
(714) 545-6400
Mailing address
11190 WARNER AVE, SUITE 307, FOUNTAIN VALLEY, CA 92708-4019
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Enumeration date
09/28/2007
Last updated
09/28/2007
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