Pediatric Care Medical Group, Inc.
Pediatrics
Pediatric Care Medical Group, Inc. is a Huntington Beach, California based Pediatric center with medical specialization in
General Pediatrics.
It is located at
17822 Beach Blvd, Suite 278, Huntington Beach, California - 92647-7101. They can be contacted on phone at
714-842-1441 and fax number 714-843-0394.
NPI number (Unique professional ID) for Pediatric Care Medical Group, Inc. is
1851337356 which was assigned by NPPES on 22 Jun, 2006 and it was last updated on 22 Aug, 2020.
Pediatric Care Medical Group, Inc. license number is
A24153 for Pediatrics (208000000X) in California.
Pediatric Care Medical Group, 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:
Pediatric Care Medical Group, Inc. basic information including their official name, gender, specialization, credentials etc. are as mentioned below.
Specialization : | Pediatrics |
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Provider Name : | Pediatric Care Medical Group, Inc. |
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Business Address:
Pediatric Care 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 : | 17822 Beach Blvd, Suite 278 Huntington Beach, CA, 92647-7101 United States |
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Phone Number : | 714-842-1441 |
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Fax Number : | 714-843-0394 |
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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 : | 1851337356 |
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NPI Entity Type : | Organization |
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First Enrolment Date : | 22 Jun, 2006 |
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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 : | Pauly Qaqundah |
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Authorized Official Credential : | M.D. |
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Official Title or Position : | PRESIDENT |
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Phone Number : | 714-842-1441 |
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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 Pediatric Care Medical Group, Inc. are as mentioned. Primary taxonomy code for Pediatric Care Medical Group, Inc. is
208000000X (Pediatrics).
Taxonomy Code | Speciality | Primary | License No. | State |
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208000000X | Pediatrics | Yes | A24153 | CA |
Legacy Identifiers:
Other legacy medical identifiers of Pediatric Care Medical Group, Inc. such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
Identifier | Identifier Type | State | Issuer |
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GR0025680 | 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 : | 17822 Beach Blvd, Suite 278 Huntington Beach, CA, 92647-7101 United States |
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Phone Number : | 714-842-1441 |
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Fax Number : | 714-843-0394 |
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Business Location:
Patients can refer following map for directions to
Pediatric Care 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.