Organization · Type 2 NPI

Lifetime Neurodevelopmental Care Inc

Pediatrics Physician · Mill Valley, CA

NPI number 1790496560 Active

Practice location

655 Redwood Hwy Frontage Rd Bldg SUITE225
Mill Valley, CA 94941-3034

Fax (415) 789-4516

Mailing address

731 E Walnut St
Pasadena, CA 91101-1613

Other practice locations

  • 776 E Green St Ste 205, Pasadena, CA 91101-5405 · (415) 952-6050

Specialties and licenses

TaxonomyCodeLicense
Pediatrics Physician Primary 208000000XNone listed
Neurology with Special Qualifications in Child Neurology Physician 2084N0402XNone listed

Pediatrics Physician: A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on de…

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About NPI 1790496560

Lifetime Neurodevelopmental Care Inc's National Provider Identifier is 1790496560, issued on Dec 12, 2022. The primary taxonomy on file is Pediatrics Physician (208000000X), and the practice location is in Mill Valley, CA. The record was last updated on Jul 2, 2026.