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Organization
PEDIATRIC INPATIENT SPECIALISTS PC
Active
Organization
PEDIATRIC INPATIENT SPECIALISTS PC
Active
Other names
Pediatric Inpatient Specialists PC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HILLEL K JANAI MD (PRESIDENT)
(805) 220-8232
Entity
Organization
Contact information
Practice address
1400 E CHURCH ST, SANTA MARIA, CA 93454-5906
(805) 739-3600
(805) 739-3075
Mailing address
3000 BROAD ST, SUITE B-217, SAN LUIS OBISPO, CA 93401-6786
(805) 547-1255
(805) 547-1395
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
—
—
208M00000X
Hospitalist Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
31084
CITY OF SANTA MARIA BUSINESS LICENSE
CA
01
—
9908569
AETNA GROUP PIN NUMBER
CA
01
—
C3158471
STATE DEPT OF CORPORATIONS NUMBER
CA
Enumeration date
04/12/2010
Last updated
10/19/2010
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