The Ida Karlin Pediatric Center
Pediatrics
The Ida Karlin Pediatric Center is a Puyallup, Washington based Pediatric center with medical specialization in
General Pediatrics.
It is located at
319 5th St Sw, Puyallup, Washington - 98371-5828. They can be contacted on phone at
253-848-0351 and fax number 253-841-1397.
NPI number (Unique professional ID) for The Ida Karlin Pediatric Center is
1366657918 which was assigned by NPPES on 14 May, 2007 and it was last updated on 23 Dec, 2015.
The Ida Karlin Pediatric Center license number is
MD00015660 for Pediatrics (208000000X) in Washington.
The Ida Karlin Pediatric Center 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:
The Ida Karlin Pediatric Center basic information including their official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
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| Provider Name : | The Ida Karlin Pediatric Center |
|---|
Business Address:
The Ida Karlin Pediatric Center 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 : | 319 5th St Sw
Puyallup, WA, 98371-5828
United States |
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| Phone Number : | 253-848-0351 |
|---|
| Fax Number : | 253-841-1397 |
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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 : | 1366657918 |
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| NPI Entity Type : | Organization |
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| First Enrolment Date : | 14 May, 2007 |
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| Last Updated On : | 23 Dec, 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 : | Ovidio Penalver |
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| Authorized Official Credential : | MD |
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| Official Title or Position : | CORPORATE OFFICER, PROVIDER |
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| Phone Number : | 253-848-0351 |
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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 The Ida Karlin Pediatric Center are as mentioned. Primary taxonomy code for The Ida Karlin Pediatric Center is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 101Y00000X | Counselor | No | LH60394287 | WA |
| 363LP0200X | Nurse Practitioner Pediatrics | No | AP60312846 | WA |
| 363LP0808X | Nurse Practitioner Psych/Mental Health | No | AP60311598 | WA |
| 103T00000X | Psychologist | No | PY60385056 | WA |
| 208000000X | Pediatrics | Yes | MD00015660 | WA |
Legacy Identifiers:
Other legacy medical identifiers of The Ida Karlin Pediatric Center such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 7110653 | MEDICAID | WA | |
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 : | 319 5th St Sw
Puyallup, WA, 98371-5828
United States |
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| Phone Number : | 253-848-0351 |
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Business Location:
Patients can refer following map for directions to
The Ida Karlin Pediatric Center practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.