Clovis Pediatric Group

LBN: Amar Siddique Md Inc
Clovis Pediatric Group is an health care organization with primary practice located at 726 N Medical Center Dr E Ste 205 , Clovis CA 93611-6886. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine. Allopathic & Osteopathic Physicians / Pediatrics is the primary health care specialty. Amar Siddique Md Inc can be contacted via phone (559) 908-4852, or through Siddique, Amar via phone (559) 908-4852.

Contact Information

Primary practice address
726 N Medical Center Dr E Ste 205 Clovis CA 93611-6886
Phone: (559) 908-4852
Fax: (559) 354-5214
Website:
Map and Directions
Authorized official contact:
Name: Siddique, Amar Doctor of Medicine (MD)
Phone: (559) 908-4852

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X A93835 California
Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine 2080N0001X A93835 California

Profile Details

NPI number 1538574660
LBN Legal business name Amar Siddique Md Inc
DBA Doing business as Clovis Pediatric Group
Authorized official Siddique, Amar Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 26th, 2014
Last updated Jun 20th, 2021 - about 5 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1538574660 NPPES
California MEDICAID 00A938350

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