| Sunnyside Pediatrics Llc | |
|
4420 Conlin St Ste 205 Metairie LA 70006-2167 | |
| (504) 455-8887 | |
| Not Available |
| Full Name | Sunnyside Pediatrics Llc |
|---|---|
| Speciality | Pediatrics |
| Location | 4420 Conlin St Ste 205, Metairie, Louisiana |
| Authorized Official Name and Position | Ana De Aguiar (OWNER) |
| Authorized Official Contact | 5044558887 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sunnyside Pediatrics Llc 4420 Conlin St Ste 205 Metairie LA 70006-2167 Ph: () - | Sunnyside Pediatrics Llc 4420 Conlin St Ste 205 Metairie LA 70006-2167 Ph: (504) 455-8887 |
| NPI Number | 1447394499 |
|---|---|
| Provider Enumeration Date | 02/16/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447394499 | NPI | - | NPPES |
| 1173525 | Medicaid | LA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 201033 (Louisiana) | Primary |
| 208000000X | Pediatrics | 15344R (Louisiana) | Primary |
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