Organization
PEDIAHEALTH MEDICAL GROUP, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. OFELIA MARISTELA M.D. (CHIEF MEDICAL OFFICER)
(650) 994-3000
Entity
Organization
Contact information
Practice address
901 CAMPUS DR, SUITE 210, DALY CITY, CA 94015-4900
(650) 994-3000
Mailing address
901 CAMPUS DR, SUITE 210, DALY CITY, CA 94015-4900
(650) 994-3000
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
A32383
CA
Other
Enumeration date
09/20/2006
Last updated
08/22/2020
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