Pediatric Partners Medical Professional Corporation
NPI #1356656664 in Ridgecrest, California
Provider Information
- NPI Number
- 1356656664
- Entity Type
- Organization
- Organization Name
- Pediatric Partners Medical Professional Corporation
- Primary Specialty
- Pediatrics - Adolescent Medicine
- Enumeration Date
- Aug 11, 2010
- Last Updated
- Aug 11, 2010
Practice Location
- Address
- 1111 N CHINA LAKE BLVD
- Address 2
- SUITE 120
- City
- Ridgecrest
- State
- California
- ZIP Code
- 93555-3131
- Phone
- (760) 446-7337
Authorized Official
- Name
- CHERYL FUCHIGAMI-BOST, RN, RN
- Title
- CHIEF OPERATIONS OFFICER
- Phone
- (951) 252-8588
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pediatrics - Adolescent Medicine — Adolescent Medicine |
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