Organization · Type 2 NPI
Beachkids Pediatrics A Professional Nursing Corporation
Pediatric Nurse Practitioner · Redondo Beach, CA
NPI number
1174916779
Active
Practice location
918 Emerald St
Redondo Beach, CA 90277-3261
Fax (848) 210-9648
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Nurse Practitioner Primary | 363LP0200X | 9281 (CA) |
Pediatric Nurse Practitioner: Definition to come...
About NPI 1174916779
Beachkids Pediatrics A Professional Nursing Corporation's National Provider Identifier is 1174916779, issued on Mar 6, 2015. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Redondo Beach, CA. The record was last updated on Mar 6, 2015.