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NPI Code Detail

MEDICARE: PEDIATRICS FOR ALL INC

MEDICARE: PEDIATRICS FOR ALL INC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1208000000XPediatrics Physician
2208D00000XGeneral Practice Physician

General Provider Information

NPI Number : 1407519556
Entity Type Code : Organization
Provider Name (Legal Business Name) : PEDIATRICS FOR ALL INC
Provider Business Mailing Address
First Line : 4550 PANAMA LN STE 100
Second Line :
City : BAKERSFIELD
State : CA
Zip : 93313-3486
Country : US
Telephone Number : 661-631-2229
Fax Number : 661-381-7079
Provider Business Practice Location Address
First Line : 4550 PANAMA LN STE A
Second Line :
City : BAKERSFIELD
State : CA
Zip : 93313-3436
Country : US
Telephone Number : 818-943-0704
Fax Number :
Authorized Official
Title or Position : PRESIDENT
Name : NIRANJAN DASS
Credential : M. D.
Telephone Number : 661-631-2229
Provider Enumeration Date : 10/15/2021
Last Update Date : 01/25/2023

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Directions to “PEDIATRICS FOR ALL INC ” Practice Location

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