Pendleton Pediatrics Pc

LBN: Pendleton Pediatrics Pc
Pendleton Pediatrics Pc is an health care organization with primary practice located at 1445 W Chander Blvd Bldg B, Chandler AZ 85248. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as the primary health care specialty. Pendleton Pediatrics Pc can be contacted via phone (480) 338-5505, or through Maldonado, Vicki A via phone (480) 385-5055.

Contact Information

Primary practice address
1445 W Chander Blvd Bldg B Chandler AZ 85248
Fax: (480) 385-5054
Website:
Authorized official contact:
Name: Maldonado, Vicki A

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 25070 Arizona

Profile Details

NPI number 1699973750
LBN Legal business name Pendleton Pediatrics Pc
DBA Doing business as
Authorized official Maldonado, Vicki A
Entity Organization
Organization subpart 1 No
Enumeration date Jul 10th, 2007
Last updated Jul 10th, 2007 - about 15 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 1699973750 NPPES
Arizona MEDICAID 389777

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