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Organization
PATTERSON AND TEDFORD PEDIATRICS, A CALIFORNIA MEDICAL CORP
Active
Organization
PATTERSON AND TEDFORD PEDIATRICS, A CALIFORNIA MEDICAL CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CASSIE FOSTER (PRACTICE ADMINISTRATOR)
(805) 466-6622
Entity
Organization
Contact information
Practice address
7700 MORRO RD, ATASCADERO, CA 93422-4435
(805) 466-6622
(805) 461-0361
Mailing address
7700 MORRO RD, ATASCADERO, CA 93422-4435
(805) 466-6622
(805) 461-0361
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
C2202292
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
357801011
CIGNA PIN
—
01
—
4315040
AETNA PIN
—
05
—
GR0089110
—
CA
01
—
ZZZ01321Z
BLUE SHIELD OF CA GRP PIN
CA
Enumeration date
08/13/2006
Last updated
09/28/2020
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