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Organization
EUREKA PEDIATRICS MEDICAL PRACTICE
Active
Organization
EUREKA PEDIATRICS MEDICAL PRACTICE
Active
Parent organization
EUREKA PEDIATRICS MEDICAL PRACTICE
Other names
Eureka Pediatrics McKinleyville Office
Organization subpart
Yes
Provider details
NPI number
Legal business name
EUREKA PEDIATRICS MEDICAL PRACTICE
Authorized official
MRS. ELESHA L HERNANDEZ (ADMINISTRATOR)
(707) 445-9413
Entity
Organization
Contact information
Practice address
2192 CENTRAL AVE, MCKINLEYVILLE, CA 95519-3610
(707) 839-3377
(707) 839-3612
Mailing address
2800 HARRIS ST, EUREKA, CA 95503-4809
(707) 445-9413
(707) 445-4182
Taxonomy
Speciality
Code
Description
License number
State
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
—
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
553849
RURAL HEALTH NUMBER
CA
Enumeration date
12/13/2010
Last updated
04/06/2011
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