Organization
CHILDRENS MEDICAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GINA ROSENFELD MD (MANAGING PHYSICIAN)
(760) 744-6710
Entity
Organization
Contact information
Practice address
1582 W SAN MARCOS BLVD STE 203, SAN MARCOS, CA 92078-4081
(760) 744-6710
(760) 744-6156
Mailing address
1582 W SAN MARCOS BLVD STE 203, SAN MARCOS, CA 92078-4081
(760) 744-6710
(760) 744-6156
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
015180
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ZZZ33912Z
—
CA
Enumeration date
06/24/2005
Last updated
10/03/2018
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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