Organization
FOUNTAIN VALLEY PEDIATRICS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANDREW PIN-WEI KO M.D. (PRESIDENT)
(714) 979-7788
Entity
Organization
Contact information
Practice address
11100 WARNER AVE STE 262, FOUNTAIN VALLEY, CA 92708-7512
(714) 979-7788
(714) 979-7799
Mailing address
11100 WARNER AVE STE 262, FOUNTAIN VALLEY, CA 92708-7512
(714) 979-7788
(714) 979-7799
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Enumeration date
12/08/2009
Last updated
03/30/2012
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