Organization · Type 2 NPI
Roseville Pediatric Medical Group, Inc
Primary Care Clinic/Center · Roseville, CA
NPI number
1275647737
Active
Practice location
1098 Sunrise Ave Ste 100
Roseville, CA 95661-4469
Fax (916) 789-0889
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Primary Care Clinic/Center Primary | 261QP2300X | 029336 (CA) |
Primary Care Clinic/Center: Definition to come...
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About NPI 1275647737
Roseville Pediatric Medical Group, Inc's National Provider Identifier is 1275647737, issued on Aug 19, 2006. The primary taxonomy on file is Primary Care Clinic/Center (261QP2300X), and the practice location is in Roseville, CA. The record was last updated on Sep 17, 2008.