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CASA PEDIATRICS II NPI 1639947369


NPI Information

NPI: 1639947369
Provider Name: CASA PEDIATRICS II
Classification: Pediatrics - 208000000X
Entity Type: Organization

CLIA Number: 49D2298324

Address:
3301 WOODBURN RD STE 209
ANNANDALE, VA
ZIP 22003
Phone: (703) 485-0470
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CASA PEDIATRICS II is a pediatrics in Annandale, VA. The provider is 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 development. CASA PEDIATRICS II NPI is 1639947369. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

3301 WOODBURN RD STE 209
ANNANDALE, VA
ZIP 22003-303
Phone: (703) 485-0470
Fax: (703) 986-0825

The provider's authorized official is Nayra Butron .
The authorized official title is Manager and has the following contact phone number (703) 485-0470.

The CLIA number assigned to this NPI record is 49D2298324 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/12/2023 and was last updated on 12/12/2023.


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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1208000000XPediatricsYes

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: 5/5/2024

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