Shafter Pediatrics

NPI #1821763590 in Shafter, California

Provider Information

NPI Number: 1821763590
Entity Type: Organization
Organization Name: Shafter Pediatrics
Subpart: Yes (part of a larger organization)
Parent Organization: SHAFTER PEDIATRICS
Primary Specialty: Clinic/Center
Enumeration Date: Aug 13, 2021
Last Updated: Dec 29, 2023

Practice Location

Address: 501 MUNZER ST
Address 2: SUITE C
City: Shafter
State: California
ZIP Code: 93263-2042
Phone: (661) 630-5274

Authorized Official

Name: DR. AYODEJI ADETAYO AYENI, M.D.
Title: MEDICAL DIRECTOR
Phone: (661) 364-5244

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pediatrics	208000000X
Clinic/Center	261Q00000X	Primary

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