Organization
AUDREY REID AND ASSOCIATES,A MEDICAL GROUP,INC
Active
Other names
Huntington Plaza Pediatric Group
Organization subpart
No
Provider details
NPI number
Authorized official
MS. BEVERLY ANNE JOHNSON (ADMINISTRATOR)
(626) 243-9000
Entity
Organization
Contact information
Practice address
800 FAIRMOUNT AVE, STE 110, PASADENA, CA 91105-3150
(626) 243-9000
(626) 795-1269
Mailing address
800 FAIRMOUNT AVE, STE 110, PASADENA, CA 91105-3150
(626) 243-9000
(626) 795-1269
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
C32644
CA
Other
Enumeration date
01/17/2007
Last updated
08/22/2020
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