Pediatric Partners Medical Professional Corporation
NPI #1154554608 in Ridgecrest, California
Provider Information
- NPI Number
- 1154554608
- Entity Type
- Organization
- Organization Name
- Pediatric Partners Medical Professional Corporation
- Primary Specialty
- Pediatrics - Adolescent Medicine
- Enumeration Date
- Sep 1, 2009
- Last Updated
- Sep 1, 2009
Practice Location
- Address
- 900 N HERITAGE DR
- Address 2
- BLDG. A
- City
- Ridgecrest
- State
- California
- ZIP Code
- 93555-5536
- Phone
- (951) 252-8588
Authorized Official
- Name
- MRS. CHERYL FUCHIGAMI-BOST, RN, RN
- Title
- COO
- Phone
- (951) 252-8588
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pediatrics - Adolescent Medicine — Adolescent Medicine |
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