Humboldt Pediatric Medical Corporation, Inc.

NPI #1063927770 in Mckinleyville, California

Provider Information

NPI Number: 1063927770
Entity Type: Organization
Organization Name: Humboldt Pediatric Medical Corporation, Inc.
Primary Specialty: Pediatrics
Enumeration Date: Dec 5, 2017
Last Updated: Dec 5, 2017

Practice Location

Address: 2192 CENTRAL AVE STE A
City: Mckinleyville
State: California
ZIP Code: 95519-3610
Phone: (707) 839-1000

Authorized Official

Name: DR. SARAH BERTRAM POYEN, MD
Title: MD
Phone: (707) 599-0642

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pediatrics	208000000X	Primary

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