Kids Doc of Southern California Medical Group, Inc.
NPI #1013966670 in Mission Viejo, California
Provider Information
- NPI Number
- 1013966670
- Entity Type
- Organization
- Organization Name
- Kids Doc of Southern California Medical Group, Inc.
- Primary Specialty
- Pediatrics
- Enumeration Date
- May 9, 2006
- Last Updated
- Nov 3, 2016
Practice Location
- Address
- 27800 MEDICAL CENTER RD SUITE 204
- City
- Mission Viejo
- State
- California
- ZIP Code
- 92691
- Phone
- (949) 682-4750
Authorized Official
- Name
- MARY ANN WILKINSON, M.D.
- Title
- TREASURER
- Phone
- (949) 951-5437
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pediatrics |
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