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Organization
RAISING SAGES INTEGRATIVE PEDIATRICS, INC.
Active
Organization
RAISING SAGES INTEGRATIVE PEDIATRICS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANE R. FLIEDNER M.D. (AUTHORIZED OFFICIAL)
(949) 788-1111
Entity
Organization
Contact information
Practice address
1601 DOVE ST, SUITE 276, NEWPORT BEACH, CA 92660-2433
(949) 788-1111
(949) 788-1110
Mailing address
PO BOX 12257, NEWPORT BEACH, CA 92658-5057
(949) 788-1111
(949) 788-1110
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
A76363
CA
Other
Enumeration date
07/23/2014
Last updated
07/23/2014
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