Capitola Pediatrics

NPI #1811012545 in Capitola, California

Provider Information

NPI Number: 1811012545
Entity Type: Organization
Organization Name: Capitola Pediatrics
Primary Specialty: Pediatrics
Enumeration Date: Mar 20, 2007
Last Updated: Aug 4, 2014

Practice Location

Address: 4145 CLARES STREET
Address 2: SUITE A
City: Capitola
State: California
ZIP Code: 95010
Phone: (831) 476-1933

Authorized Official

Name: DR. ELIZABETH BASKERVILLE, M.D.
Title: OWNER/PEDIATRICIAN
Phone: (831) 475-1883

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pediatrics	208000000X	Primary

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