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NPI Code Detail

MEDICARE: PEDIATRIX MEDICAL GROUP OF CALIFORNIA, A PROFESSIONAL CORP

MEDICARE: PEDIATRIX MEDICAL GROUP OF CALIFORNIA, A PROFESSIONAL CORP
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
1282NC2000XChildren's HospitalA45248CA

General Provider Information

NPI Number : 1790749414
Entity Type Code : Organization
Provider Name (Legal Business Name) : PEDIATRIX MEDICAL GROUP OF CALIFORNIA, A PROFESSIONAL CORP
Provider Business Mailing Address
First Line : 2425 SAMARITAN DR
Second Line :
City : SAN JOSE
State : CA
Zip : 95124-3908
Country : US
Telephone Number : 408-559-2262
Fax Number :
Provider Business Practice Location Address
First Line : 1301 CONCORD TER
Second Line :
City : SUNRISE
State : FL
Zip : 33323-2843
Country : US
Telephone Number : 800-243-3839
Fax Number :
Authorized Official
Title or Position : ASSISTANT SECRETARY
Name : NANETTE SANDERS
Credential :
Telephone Number : 800-243-3839
Provider Enumeration Date : 04/12/2006
Last Update Date : 07/06/2021

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Directions to “PEDIATRIX MEDICAL GROUP OF CALIFORNIA, A PROFESSIONAL CORP ” Practice Location

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