Organization
BEACHKIDS PEDIATRICS A PROFESSIONAL NURSING CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. THERESA CANGIALOSI NP (PEDIATRIC NURSE PRACTITIONER)
(310) 697-6833
Entity
Organization
Contact information
Practice address
918 EMERALD ST, REDONDO BEACH, CA 90277-3261
(310) 697-6833
(848) 210-9648
Mailing address
918 EMERALD ST, REDONDO BEACH, CA 90277-3261
(310) 697-6833
(848) 210-9648
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
9281
CA
Other
Enumeration date
03/06/2015
Last updated
03/06/2015
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