South Counties Pediatric Critical Care Medical Group
Pediatric Critical Care Medicine
South Counties Pediatric Critical Care Medical Group is a Fountain Valley, California based Pediatric center with medical specialization in
Pediatric Critical Care Medicine.
It is located at
17100 Euclid St, Attn: Picu, Fountain Valley, California - 92708-4004. They can be contacted on phone at
714-966-7253.
NPI number (Unique professional ID) for South Counties Pediatric Critical Care Medical Group is
1609853688 which was assigned by NPPES on 29 Dec, 2005 and it was last updated on 28 May, 2015.
South Counties Pediatric Critical Care Medical Group is expert in advanced life support for children from the term or near-term neonate to the adolescent. This competence extends to the critical care management of life-threatening organ system failure from any cause in both medical and surgical patients and to the support of vital physiological functions. This specialist may have administrative responsibilities for intensive care units and also facilitates patient care among other specialists.
Complete Profile:
South Counties Pediatric Critical Care Medical Group basic information including their official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics Pediatric Critical Care Medicine |
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| Provider Name : | South Counties Pediatric Critical Care Medical Group |
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Business Address:
South Counties Pediatric Critical Care Medical Group 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 : | 17100 Euclid St, Attn: Picu
Fountain Valley, CA, 92708-4004
United States |
|---|
| Phone Number : | 714-966-7253 |
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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 : | 1609853688 |
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| NPI Entity Type : | Organization |
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| First Enrolment Date : | 29 Dec, 2005 |
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| Last Updated On : | 28 May, 2015 |
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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 : | Zacharia Reda |
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| Authorized Official Credential : | MD |
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| Official Title or Position : | PRESIDENT |
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| Phone Number : | 714-966-7253 |
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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 South Counties Pediatric Critical Care Medical Group are as mentioned. Primary taxonomy code for South Counties Pediatric Critical Care Medical Group is
2080P0203X (Pediatrics Pediatric Critical Care Medicine).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 2080P0214X | Pediatrics Pediatric Pulmonology | No | | |
| 2080P0204X | Pediatrics Pediatric Emergency Medicine | No | | |
| 2080P0203X | Pediatrics Pediatric Critical Care Medicine | Yes | | |
Legacy Identifiers:
Other legacy medical identifiers of South Counties Pediatric Critical Care Medical Group such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| ZZZ57330Z | 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 : | 17100 Euclid St, Attn: Picu
Fountain Valley, CA, 92708-4004
United States |
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| Phone Number : | 714-966-7253 |
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Business Location:
Patients can refer following map for directions to
South Counties Pediatric Critical Care Medical Group practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.