Organization · Type 2 NPI

Eureka Pediatrics Medical Practice

Pediatric Adolescent Medicine Physician · Mckinleyville, CA

NPI number 1669775730 Active

Practice location

2192 Central Ave
Mckinleyville, CA 95519-3610

Call (707) 839-3377 Map

Fax (707) 839-3612

Mailing address

2800 Harris St
Eureka, CA 95503-4809

Specialties and licenses

Taxonomy	Code	License
Pediatric Adolescent Medicine Physician Primary	2080A0000X	None listed

Pediatric Adolescent Medicine Physician: A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.

Another provider at this address

Health Care Medical AssocObstetrics Physician Mckinleyville, CA NPI 1386845659

NPI record

NPI: 1669775730
Entity type: Organization (Type 2)
Issued: Dec 13, 2010
Last updated: Apr 6, 2011
Status: Active
Subpart: Yes of Eureka Pediatrics Medical Practice

Other names

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Eureka Pediatrics McKinleyville Office · doing business as

Authorized official

Mrs. Elesha L Hernandez
Administrator
(707) 445-9413

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1669775730

Eureka Pediatrics Medical Practice's National Provider Identifier is 1669775730, issued on Dec 13, 2010. The primary taxonomy on file is Pediatric Adolescent Medicine Physician (2080A0000X), and the practice location is in Mckinleyville, CA. The record was last updated on Apr 6, 2011.