Organization
CALIFORNIA PEDIATRICS, INC.
Active
Organization
CALIFORNIA PEDIATRICS, INC.
Active
Other names
California Pediatrics
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VANESSA LEONOR NEVES MD (OWNER)
(760) 295-6565
Entity
Organization
Contact information
Practice address
1595 GRAND AVE, SUITE 102, SAN MARCOS, CA 92078-2450
(760) 295-6565
(760) 514-4330
Mailing address
1595 GRAND AVE, SUITE 102, SAN MARCOS, CA 92078-2450
(760) 295-6565
(760) 514-4330
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
C54782
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
52208
MEDICARE
CA
05
—
C54782F-1
—
CA
Enumeration date
11/14/2013
Last updated
01/08/2014
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