Organization
CALIFORNIA NEONATOLOGY SERVICES A MEDICAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATHLEN KONDAS (AO/OFFICER)
(973) 251-1132
Entity
Organization
Contact information
Practice address
600 N HIGHLAND SPRINGS AVE, BANNING, CA 92220-3046
(951) 845-1121
Mailing address
5565 CENTERVIEW DR STE 107, RALEIGH, NC 27606-3563
(973) 251-1132
Taxonomy
Speciality
Code
Description
License number
State
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
—
—
Other
Enumeration date
04/30/2020
Last updated
04/30/2020
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