| Pediahealth Medical Group, Inc. | |
|
901 Campus Dr Suite 210 Daly City CA 94015-4900 | |
| (650) 994-3000 | |
| Not Available |
| Full Name | Pediahealth Medical Group, Inc. |
|---|---|
| Speciality | Clinic/center |
| Location | 901 Campus Dr, Daly City, California |
| Authorized Official Name and Position | Ofelia Maristela (CHIEF MEDICAL OFFICER) |
| Authorized Official Contact | 6509943000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pediahealth Medical Group, Inc. 901 Campus Dr Suite 210 Daly City CA 94015-4900 Ph: (650) 994-3000 | Pediahealth Medical Group, Inc. 901 Campus Dr Suite 210 Daly City CA 94015-4900 Ph: (650) 994-3000 |
| NPI Number | 1003913971 |
|---|---|
| Provider Enumeration Date | 09/20/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003913971 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | A32383 (California) | Primary |
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