Healthcare Provider Details

I. General information

NPI: 1881615789
Provider Name (Legal Business Name): NEONATAL MEDICAL ASSOCIATES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/23/2006
Last Update Date: 09/04/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2801 ATLANTIC AVE 2ND FLOOR, NICU
LONG BEACH CA
90806-1701
US

IV. Provider business mailing address

PO BOX 17459
LONG BEACH CA
90807-7459
US

V. Phone/Fax

Practice location:
  • Phone: 562-933-8100
  • Fax: 562-933-8140
Mailing address:
  • Phone: 562-933-8100
  • Fax: 562-933-8014

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2080N0001X
TaxonomyNeonatal-Perinatal Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: GUADALUPE PADILLA
Title or Position: SR PARTNER
Credential: M.D.
Phone: 562-933-8100