Healthcare Provider Details

I. General information

NPI: 1699963991
Provider Name (Legal Business Name): CALIFORNIA NEONATAL PHYSICIANS INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/11/2007
Last Update Date: 12/14/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

26520 CACTUS AVE
MORENO VALLEY CA
92555-3927
US

IV. Provider business mailing address

3006 S MARYLAND PKWY SUITE 505-510
LAS VEGAS NV
89109-2218
US

V. Phone/Fax

Practice location:
  • Phone: 888-350-2911
  • Fax:
Mailing address:
  • Phone: 702-697-0082
  • Fax: 702-369-5827

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: DONNA MESSENGER
Title or Position: DIRECTOR OF OPERATIONS
Credential:
Phone: 888-350-2911