Pediatric Clinic

LBN: Pediatric Clinic
Pediatric Clinic is an health care organization with primary practice located at 32124 1St Ave S Ste 100 , Federal Way WA 98003-5761. The organization recently has only one registered license in Managed Care Organizations / Point of Service, which is considered as the primary health care specialty. Pediatric Clinic can be contacted via phone (253) 661-5939, or through Badyal, Mohinder Singh via phone (253) 661-5939.

Contact Information

Primary practice address
32124 1St Ave S Ste 100 Federal Way WA 98003-5761
Phone: (253) 661-5939
Fax: (253) 661-5929
Website:
Map and Directions
Authorized official contact:
Name: Badyal, Mohinder Singh Doctor of Medicine (MD)
Phone: (253) 661-5939

Health care specialties

SpecialtyCodeLicense #State
Managed Care Organizations / Point of Service 305S00000X MD00031337 Washington

Profile Details

NPI number 1952561805
LBN Legal business name Pediatric Clinic
DBA Doing business as
Authorized official Badyal, Mohinder Singh Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 13th, 2008
Last updated Jun 13th, 2008 - about 18 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 1952561805 NPPES
Washington MEDICAID 7056443

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