Central California Pediatric Specialty Medical Group INC
NPI #1871871624 in Visalia, California
Provider Information
- NPI Number
- 1871871624
- Entity Type
- Organization
- Organization Name
- Central California Pediatric Specialty Medical Group INC
- Primary Specialty
- Specialist
- Enumeration Date
- Jul 28, 2011
- Last Updated
- Jan 26, 2017
Practice Location
- Address
- 400 W MINERAL KING AVE
- City
- Visalia
- State
- California
- ZIP Code
- 93291-6237
- Phone
- (559) 280-9165
Authorized Official
- Name
- DR. ANA CAROLINA COLL, M.D
- Title
- CFO
- Phone
- (559) 280-9165
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist |
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