Summit Pediatric Medical Group INC

NPI #1821191438 in Orinda, California

Provider Information

NPI Number: 1821191438
Entity Type: Organization
Organization Name: Summit Pediatric Medical Group INC
Primary Specialty: Pediatrics
Enumeration Date: Sep 7, 2006
Last Updated: Aug 22, 2020

Practice Location

Address: 4 COUNTRY CLUB PLAZA
City: Orinda
State: California
ZIP Code: 94563-2308
Phone: (925) 254-9500

Authorized Official

Name: MR. LLOYD HEISABURO TAKAO, MD
Title: CEO
Phone: (925) 254-9500

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pediatrics	208000000X	Primary

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