Pacific Coast Pediatric Center INC

NPI #1619152402 in Freedom, California

Provider Information

NPI Number: 1619152402
Entity Type: Organization
Organization Name: Pacific Coast Pediatric Center INC
Primary Specialty: Pediatrics
Enumeration Date: Dec 31, 2007
Last Updated: Jan 1, 2008

Practice Location

Address: 252 GREEN VALLEY RD
City: Freedom
State: California
ZIP Code: 95019-3138
Phone: (831) 722-0272

Authorized Official

Name: DR. LINDA LEE SHAW, MD
Title: OWNER, PARTNER, SECY-TREAS
Phone: (831) 722-0272

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pediatrics	208000000X	Primary

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