Advanced Pediatric Medical Group INC
Clinic/Center, Primary Care in San Diego, California
1558459180- Practice location
- 5222 Balboa Ave, Suite 42, San Diego, CA 92117-6904
- Phone
- 858-268-0702
- Fax
- 858-268-0374
- Last updated
- February 25, 2013
Advanced Pediatric Medical Group INC is a healthcare organization based in San Diego, CA. Advanced Pediatric Medical Group INC practices in San Diego, CA. The NPI Number for Advanced Pediatric Medical Group INC is 1558459180 and holds a License No. A46462 (CA). The current practice location address for Advanced Pediatric Medical Group INC is 5222 Balboa Ave, Suite 42, San Diego, CA 92117-6904 and can be reached out via phone at 858-268-0702 and via fax at 858-268-0374.
Provider Profile Details
- NPI Number
- 1558459180
- Provider Name
- Advanced Pediatric Medical Group INC
- Provider Entity Type
- Organization
- Address
- 5222 Balboa Ave, Suite 42, San Diego, CA 92117-6904
- Phone Number
- 858-268-0702
- Fax Number
- 858-268-0374
- Primary Taxonomy
- Clinic/Center, Primary Care · 261QP2300X
- Organization Subpart
- No
- Authorized Official
- Dr. Jay Jalal Sadrieh, MD · President And Officer · 858-268-0702
- Provider Enumeration Date
- October 10, 2006
- Last Update Date
- February 25, 2013
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 5222 Balboa Ave
Suite 42
San Diego, CA 92117-6904 - City
- San Diego
- State
- California
- Zip
- 92117-6904
- Phone Number
- 858-268-0702
- Fax Number
- 858-268-0374
Provider Business Mailing Address Details
- Address
- 5222 Balboa Ave
Suite 42
San Diego, CA 92117-6991 - City
- San Diego
- State
- CA
- Zip
- 92117-6991
- Phone Number
- 858-268-0702
- Fax Number
- 858-268-0374
License Information
- License Number
- A46462
- License State
- CA
- Taxonomy
- Clinic/Center, Primary Care · 261QP2300X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Advanced Pediatric Medical Group INC?
The NPI number of Advanced Pediatric Medical Group INC is 1558459180. It was assigned on October 10, 2006 and is currently active in the NPPES registry.
What is the specialty of Advanced Pediatric Medical Group INC?
Advanced Pediatric Medical Group INC is registered under the primary taxonomy Clinic/Center, Primary Care (code 261QP2300X), licensed in CA under license number A46462.
Where does Advanced Pediatric Medical Group INC practice?
The practice location is 5222 Balboa Ave, Suite 42, San Diego, CA 92117-6904. The office can be reached at 858-268-0702 (phone) or 858-268-0374 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1558459180 directly on the NPPES registry website.