Organization Name: | PEDIATRIC PARTNERS MEDICAL PROFESSIONAL CORPORATION |
NPI Number: | 1154554608 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | CHERYL FUCHIGAMI-BOST, RN (COO) |
Mailing Address: | 900 N Heritage Dr Bldg. A Ridgecrest |
State: | CA US |
Postal Code: | 935555536 |
Phone Number: | 9512528588 |
Fax Number: | 9512528589 |
NPI Enumeration Date: | 09/01/2009 |
NPI Last Update Date: | 09/01/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2080A0000X |
License Number: | 0900009973 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Pediatrics |
Taxonomy Specialization: | Adolescent Medicine |
Taxonomy Definition: | A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs. |