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Organization
SAN BRUNO PEDIATRICS INC
Active
Organization
SAN BRUNO PEDIATRICS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARIA VANESSA ABUNTO MD (PRESIDENT)
(650) 873-4545
Entity
Organization
Contact information
Practice address
1001 SNEATH LANE, SUITE 104, SAN BRUNO, CA 94066
(650) 873-4545
(650) 873-4544
Mailing address
5528 PACHECO BLVD, STE A, PACHECO, CA 94553
(925) 363-8170
(925) 363-4995
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
A60694
CA
208000000X
Pediatrics Physician
A80451
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1538241252
—
CA
Enumeration date
10/20/2006
Last updated
05/02/2018
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