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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