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Pediatric Critical Care Medicine Physician · FOUNTAIN VALLEY, CA

Individual Active NPI 1467985994

Taxonomy & licensure

SpecialtyCodePrimaryLicenseState
Pediatric Critical Care Medicine Physician2080P0203X✓A157291CA
Pediatrics Physician208000000XMD214632OR
Pediatrics Physician208000000XA157291CA
Pediatric Critical Care Medicine Physician2080P0203XMD214632OR

Medicare eligibility

Part B
No
DME
Yes
Home health
No
Power mobility
Yes
Hospice
No

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Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.