Mercy Associated Pediatrics Subspecialists Medical Group, Inc.
Pediatric Neonatal-Perinatal Medicine
Mercy Associated Pediatrics Subspecialists Medical Group, Inc. is a San Diego, California based Pediatric center with medical specialization in
Pediatric Neonatal-Perinatal Medicine.
It is located at
4077 5th Ave, San Diego, California - 92103-2105. They can be contacted on phone at
619-260-7046.
NPI number (Unique professional ID) for Mercy Associated Pediatrics Subspecialists Medical Group, Inc. is
1558483172 which was assigned by NPPES on 04 Apr, 2007 and it was last updated on 22 Aug, 2020.
Mercy Associated Pediatrics Subspecialists Medical Group, Inc. is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies.
Complete Profile:
Mercy Associated Pediatrics Subspecialists Medical Group, Inc. basic information including their official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics Neonatal-Perinatal Medicine |
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| Provider Name : | Mercy Associated Pediatrics Subspecialists Medical Group, Inc. |
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Business Address:
Mercy Associated Pediatrics Subspecialists Medical Group, 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 : | 4077 5th Ave
San Diego, CA, 92103-2105
United States |
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| Phone Number : | 619-260-7046 |
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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 : | 1558483172 |
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| NPI Entity Type : | Organization |
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| First Enrolment Date : | 04 Apr, 2007 |
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| 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 : | Riad Mardoum |
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| Authorized Official Credential : | M.D. |
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| Official Title or Position : | CEO |
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| Phone Number : | 619-260-7046 |
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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 Mercy Associated Pediatrics Subspecialists Medical Group, Inc. are as mentioned. Primary taxonomy code for Mercy Associated Pediatrics Subspecialists Medical Group, Inc. is
2080N0001X (Pediatrics Neonatal-Perinatal Medicine).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 2080N0001X | Pediatrics Neonatal-Perinatal Medicine | Yes | | |
Legacy Identifiers:
Other legacy medical identifiers of Mercy Associated Pediatrics Subspecialists Medical Group, Inc. such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| GR0057900 | 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 : | Po Box 33855
San Diego, CA, 92163-3855
United States |
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| Phone Number : | 619-401-4016 |
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Business Location:
Patients can refer following map for directions to
Mercy Associated Pediatrics Subspecialists Medical Group, 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. Last updated on 08 January, 2024.