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NPI Code Detail

MEDICARE: SWIFTS CRITICAL CARE NETWORK FOR CHILDREN MEDICAL GROUP

MEDICARE: SWIFTS CRITICAL CARE NETWORK FOR CHILDREN MEDICAL GROUP
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
12080P0203XPediatric Critical Care Medicine Physician

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1821083387
Entity Type Code : Organization
Provider Name (Legal Business Name) : SWIFTS CRITICAL CARE NETWORK FOR CHILDREN MEDICAL GROUP
Provider Business Mailing Address
First Line : 3006 S MARYLAND PKWY
Second Line : #505
City : LAS VEGAS
State : NV
Zip : 89109-2218
Country : US
Telephone Number : 888-350-2911
Fax Number : 702-369-5827
Provider Business Practice Location Address
First Line : 18321 CLARK ST
Second Line :
City : TARZANA
State : CA
Zip : 91356-3501
Country : US
Telephone Number : 888-350-2911
Fax Number : 702-369-5827
Authorized Official
Title or Position : OWNER / DIRECTOR
Name : JAMES D SWIFT
Credential : MD
Telephone Number : 888-350-2911
Provider Enumeration Date : 09/12/2005
Last Update Date : 08/22/2020

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Directions to “SWIFTS CRITICAL CARE NETWORK FOR CHILDREN MEDICAL GROUP ” Practice Location

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