Culver City Pediatrics
Pediatrics
Culver City Pediatrics is a Culver City, California based Pediatric center with medical specialization in
General Pediatrics.
It is located at
9696 Culver Blvd, Suite 108, Culver City, California - 90232-2700. They can be contacted on phone at
310-204-6897.
NPI number (Unique professional ID) for Culver City Pediatrics is
1023151123 which was assigned by NPPES on 15 Feb, 2007 and it was last updated on 22 Aug, 2020.
Culver City Pediatrics license number is
G19153 for Pediatrics (208000000X) in California.
Culver City Pediatrics is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Culver City Pediatrics basic information including their official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
|---|
| Provider Name : | Culver City Pediatrics |
|---|
Business Address:
Culver City Pediatrics address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 9696 Culver Blvd, Suite 108
Culver City, CA, 90232-2700
United States |
|---|
| Phone Number : | 310-204-6897 |
|---|
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1023151123 |
|---|
| NPI Entity Type : | Organization |
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| First Enrolment Date : | 15 Feb, 2007 |
|---|
| Last Updated On : | 22 Aug, 2020 |
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Authorized Official Details:
Officially authorized person to contact for any management issues or complaints of this organization are as below. Person's position and contact details are as mentioned below.
| Authorized Official Name : | Jeffrey Penso |
|---|
| Authorized Official Credential : | M.D. |
|---|
| Official Title or Position : | OWNER |
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| Phone Number : | 310-204-6897 |
|---|
Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Culver City Pediatrics are as mentioned. Primary taxonomy code for Culver City Pediatrics is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | Yes | G19153 | CA |
Legacy Identifiers:
Other legacy medical identifiers of Culver City Pediatrics such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| GR0102600 | MEDICAID | CA | |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 9696 Culver Blvd, Suite 108
Culver City, CA, 90232-2700
United States |
|---|
| Phone Number : | 310-204-6897 |
|---|
Business Location:
Patients can refer following map for directions to
Culver City Pediatrics practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.