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MEDINA PEDIATRICS INC. NPI 1013190826


NPI Information

NPI: 1013190826
Provider Name: MEDINA PEDIATRICS, INC.
Classification: Pediatrics - 2080N0001X
Entity Type: Organization

Specialization: Neonatal-Perinatal Medicine

Address:
27800 MEDICAL CENTER RD
SUITE 204
MISSION VIEJO, CA
ZIP 92691
Phone: (949) 364-3532
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MEDINA PEDIATRICS, INC. is a neonatal-perinatal medicine pediatrics in Mission Viejo, CA. The provider is a pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies. MEDINA PEDIATRICS, INC. NPI is 1013190826. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

27800 MEDICAL CENTER RD
SUITE 204
MISSION VIEJO, CA
ZIP 92691-410
Phone: (949) 364-3532

The provider's authorized official is Elenea M Medina .
The authorized official title is Md and has the following contact phone number (949) 364-3532.

The enumeration date for this NPI number is 12/14/2007 and was last updated on 12/14/2007.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12080N0001XPediatricsNeonatal-Perinatal MedicineA83978CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
100A839780MEDICAIDCALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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