# PM PEDIATRICS OF CALIFORNIA PROFESSIONAL CORPORATION

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1578030359
- **Authorized official:** KRISTEN HANLY (DIRECTOR OF RCM OPERATIONS)
- **Authorized official phone:** (516) 207-7919

## Contact information

- **Practice address:** 8731 W PICO BLVD, LOS ANGELES, CA 90035-2205
- **Practice address phone:** (301) 312-5437
- **Practice address fax:** (310) 312-5438
- **Mailing address:** 1 HOLLOW LN STE 301, NEW HYDE PARK, NY 11042-1215
- **Mailing address phone:** (516) 869-0650
- **Mailing address fax:** (516) 637-9408

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208000000X | Pediatrics Physician | — | NULL | — |
| 208000000X | Pediatrics Physician | — | — | — |
| 261QU0200X | Urgent Care Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 10/30/2018
- **Last updated:** 06/24/2026