Organization
PALMDALE PEDIATRIC CENTER INC
Active
Other names
PALMDALE PEDIATRIC CENTER PPC
Organization subpart
No
Provider details
NPI number
Authorized official
ESSAM HASSAN ELSHEWI MD (PRESIDENT)
(661) 721-5211
Entity
Organization
Contact information
Practice address
2271 E PALMDALE BLVD, SUITE#E1, PALMDALE, CA 93550-1340
(661) 538-9922
(661) 538-9199
Mailing address
2271 E PALMDALE BLVD, SUITE#E1, PALMDALE, CA 93550-1340
(661) 538-9922
(661) 538-9199
Taxonomy
Speciality
Code
Description
License number
State
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
—
—
Other
Enumeration date
11/10/2009
Last updated
11/10/2009
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