# KIDS CARE PEDIATRICS MEDICAL GROUP, INC.

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

## Provider details

- **NPI number:** 1881801835
- **Authorized official:** ROSEMARY A BRADFORD VI (HEALTHCARE ADMINSTRATOR)
- **Authorized official phone:** (714) 778-0623

## Contact information

- **Practice address:** 1164 N EUCLID ST, ANAHEIM, CA 92801-1900
- **Practice address phone:** (714) 778-0613
- **Mailing address:** 1164 N EUCLID ST, ANAHEIM, CA 92801-1900
- **Mailing address phone:** (714) 778-0613

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2080H0002X | Pediatric Hospice and Palliative Medicine Physician | A052752 | CA | Yes |

## Other

- **Enumeration date:** 05/17/2007
- **Last updated:** 08/22/2020