Audrey Reid And Associates,a Medical Group,inc
Pediatrics in Pasadena, CA. Organization (NPI-2).
NPI number1891847950
StatusActive
Last updated in NPPESAug 22, 2020
Details
- NPI
- 1891847950
- Entity type
- Organization (NPI-2)
- Legal business name
- Audrey Reid And Associates,a Medical Group,inc
- Organization subpart
- No
- Enumeration date
- Jan 17, 2007
- Last updated
- Aug 22, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208000000X | Pediatrics | C32644 | CA | Yes |
Other names
- Huntington Plaza Pediatric Group (Doing Business As)
Practice location
800 Fairmount AveSte 110
Pasadena, CA 91105-3150
Phone 626-243-9000 · Fax 626-795-1269
Mailing address
800 Fairmount AveSte 110
Pasadena, CA 91105-3150
Phone 626-243-9000 · Fax 626-795-1269
Authorized official
Beverly Anne Johnson
Administrator
6262439000
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