Organization
ROSEVILLE PEDIATRIC MEDICAL GROUP, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JENNELL MAE SERDA (MANAGER)
(916) 789-1798
Entity
Organization
Contact information
Practice address
1098 SUNRISE AVE STE 100, ROSEVILLE, CA 95661-4469
(916) 789-1798
(916) 789-0889
Mailing address
1098 SUNRISE AVE STE 100, ROSEVILLE, CA 95661-4469
(916) 789-1798
(916) 789-0889
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
029336
CA
Other
Enumeration date
08/19/2006
Last updated
09/17/2008
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