SOUTH COUNTIES PEDIATRIC CRITICAL CARE MEDICAL GROUP

FOUNTAIN VALLEY, CA
NPI1609853688
Entity TypeOrganization
Authorized ContactZACHARIA REDA
President
714-966-7253
Organization Subpart ?No
Primary Taxonomy2080P0203X Pediatrics, Pediatric Critical Care Medicine
Additional Taxonomies2080P0214X Pediatrics, Pediatric Pulmonology
2080P0204X Pediatrics, Pediatric Emergency Medicine
Enumeration Date2005-12-29
Last Update Date2015-05-28
Business Address
SOUTH COUNTIES PEDIATRIC CRITICAL CARE MEDICAL GROUP
17100 EUCLID ST ATTN: PICU
FOUNTAIN VALLEY, CA 92708-4004
Phone number: 714-966-7253
Mailing Address
SOUTH COUNTIES PEDIATRIC CRITICAL CARE MEDICAL GROUP
17100 EUCLID ST ATTN: PICU
FOUNTAIN VALLEY, CA 92708-4004
Phone number: 714-966-7253