Organization
PM PEDIATRICS OF CALIFORNIA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANIELLE MARIE LOPEZ (MANAGER CREDENTIALING/ENROLLMENT)
(516) 207-7936
Entity
Organization
Contact information
Practice address
8731 W PICO BLVD, LOS ANGELES, CA 90035-2205
(301) 312-5437
(310) 312-5438
Mailing address
1 HOLLOW LN STE 301, NEW HYDE PARK, NY 11042-1215
(516) 869-0650
(516) 637-9408
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
—
—
261QU0200X
Urgent Care Clinic/Center
Primary
—
—
Other
Enumeration date
10/30/2018
Last updated
01/21/2025
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