Humboldt Pediatric Medical Corporation, Inc.
Pediatrics
Humboldt Pediatric Medical Corporation, Inc. is a Mckinleyville, California based Pediatric center with medical specialization in
General Pediatrics.
It is located at
2192 Central Ave Ste A, Mckinleyville, California - 95519-3610. They can be contacted on phone at
707-839-1000 and fax number 707-839-1400.
NPI number (Unique professional ID) for Humboldt Pediatric Medical Corporation, Inc. is
1063927770 which was assigned by NPPES on 05 Dec, 2017 and it was last updated on 05 Dec, 2017.
Humboldt Pediatric Medical Corporation, Inc. license number is
A64795 for Pediatrics (208000000X) in California.
Humboldt Pediatric Medical Corporation, Inc. 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:
Humboldt Pediatric Medical Corporation, Inc. basic information including their official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
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| Provider Name : | Humboldt Pediatric Medical Corporation, Inc. |
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Business Address:
Humboldt Pediatric Medical Corporation, Inc. 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 : | 2192 Central Ave Ste A
Mckinleyville, CA, 95519-3610
United States |
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| Phone Number : | 707-839-1000 |
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| Fax Number : | 707-839-1400 |
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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 : | 1063927770 |
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| NPI Entity Type : | Organization |
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| First Enrolment Date : | 05 Dec, 2017 |
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| Last Updated On : | 05 Dec, 2017 |
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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 : | Sarahbertram Poyen |
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| Authorized Official Credential : | MD |
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| Official Title or Position : | MD |
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| Phone Number : | 707-599-0642 |
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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 Humboldt Pediatric Medical Corporation, Inc. are as mentioned. Primary taxonomy code for Humboldt Pediatric Medical Corporation, Inc. is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | Yes | A64795 | CA |
Legacy Identifiers:
Other legacy medical identifiers of Humboldt Pediatric Medical Corporation, Inc. such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 1548234693 | MEDICAID | CA | |
| 1629074570 | 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 : | 1011 Freshwater Rd
Eureka, CA, 95503-9457
United States |
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| Phone Number : | 707-599-0642 |
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Business Location:
Patients can refer following map for directions to
Humboldt Pediatric Medical Corporation, Inc. practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.