Pediatric Partners Medical Professional Corporation
NPI #1063500106 in Menifee, California
Provider Information
- NPI Number
- 1063500106
- Entity Type
- Organization
- Organization Name
- Pediatric Partners Medical Professional Corporation
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- PEDIATRIC PARTNERS MEDICAL PROFESSIONAL CORPORATION
- Primary Specialty
- Pediatrics
- Enumeration Date
- Oct 11, 2006
- Last Updated
- Mar 29, 2017
Practice Location
- Address
- 26900 NEWPORT RD
- Address 2
- SUITE 107
- City
- Menifee
- State
- California
- ZIP Code
- 92584-9222
- Phone
- (951) 301-5380
Authorized Official
- Name
- THOMAS P MOHR, M.D.
- Title
- CHIEF EXECUTIVE OFFICER
- Phone
- (951) 252-8588
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pediatrics |
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