# PEDIATRIX MEDICAL GROUP OF CALIFORNIA, A PROFESSIONAL CORP

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

## Provider details

- **NPI number:** 1861157034
- **Authorized official:** NANETTE SANDERS (ASSISTANT SECRETARY)
- **Authorized official phone:** (800) 243-3839

## Contact information

- **Practice address:** 1115 S SUNSET AVE, WEST COVINA, CA 91790-3940
- **Practice address phone:** (626) 813-3716
- **Practice address fax:** (626) 813-3720
- **Mailing address:** FILE 50978, LOS ANGELES, CA 90074-0978

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2080N0001X | Neonatal-Perinatal Medicine Physician | — | NULL | Yes |
| 2080N0001X | Neonatal-Perinatal Medicine Physician | — | — | Yes |
| 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