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Organization

DR OWL PEDIATRICS, INC.

Active
Other names
Dr Owl Pediatrics Kids Urgent Care
Organization subpart
No

Provider details

NPI number
Authorized official
DR. RAFAEL VERGARA (PRESIDENT)
(714) 894-7242
Entity
Organization

Contact information

Practice address
6042 BOLSA AVE, HUNTINGTON BEACH, CA 92647-2443
(714) 894-7242
(714) 894-7258
Mailing address
6042 BOLSA AVE, HUNTINGTON BEACH, CA 92647-2443
(714) 898-1448
(714) 894-7258

Taxonomy

Speciality
Code
Description
License number
State
261QU0200X
Urgent Care Clinic/Center
Primary
A52192
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00A521920
CA
Enumeration date
01/19/2007
Last updated
07/29/2015
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