Organization
SURF CITY PEDS
Active
Other names
pauline pepek, m.d
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PAULINE LIANG PEPEK M.D (OWNER)
(714) 842-0444
Entity
Organization
Contact information
Practice address
17742 BEACH BLVD, SUITE 240, HUNTINGTON BEACH, CA 92647-6818
(714) 842-0444
(714) 842-8444
Mailing address
17742 BEACH BLVD, SUITE 240, HUNTINGTON BEACH, CA 92647-6818
(714) 842-0444
(714) 842-8444
Taxonomy
Speciality
Code
Description
License number
State
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1427086628
NPI
CA
Enumeration date
11/04/2010
Last updated
11/08/2010
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