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Organization
PEDIATRIX MEDICAL GROUP OF CALIFORNIA, A PROFESSIONAL CORP
Active
Organization
PEDIATRIX MEDICAL GROUP OF CALIFORNIA, A PROFESSIONAL CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NANETTE SANDERS (ASSISTANT SECRETARY)
(800) 243-3839
Entity
Organization
Contact information
Practice address
1115 S SUNSET AVE, WEST COVINA, CA 91790-3940
(626) 813-3716
(626) 813-3720
Mailing address
FILE 50978, LOS ANGELES, CA 90074-0978
Taxonomy
Speciality
Code
Description
License number
State
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
—
NULL
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
—
—
231H00000X
Audiologist
—
NULL
231H00000X
Audiologist
—
—
237600000X
Audiologist-Hearing Aid Fitter
—
NULL
237600000X
Audiologist-Hearing Aid Fitter
—
—
Other
Enumeration date
11/03/2021
Last updated
11/03/2021
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