Pediatrics & Neonatology Medical Group Of Orange County

Specialty details in registry · Garden Grove, CA

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At a glance

12555 Garden Grove Blvd, Garden Grove, CA 92843-1902

NPPES record updated Aug 22, 2020. Public records can lag behind changes at a practice.

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  • Are you accepting new patients?
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Insurance participation and appointment availability are not established by these public records.

Practice location

12555 Garden Grove Blvd Suite 206
Garden Grove, CA 92843-1902
Professional details: NPI, taxonomy & registry record
NPI1275545642
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Registry details

Primary taxonomy
Specialty details in registry
Taxonomy code
174400000X
Enumeration date
Aug 13, 2006
Record updated
Aug 22, 2020
More registry details
Provider type
Organization · Type 2

Reported taxonomies and licenses

Specialty details in registry

174400000X · Primary

License reported: A44664 CA

License numbers and credentials are reported to NPPES; HCPList does not independently verify them.

Practice location

12555 Garden Grove Blvd
Suite 206
Garden Grove, CA 92843-1902
Phone
(714) 537-6595
Fax
(714) 537-2176
Mailing address
12555 GARDEN GROVE BLVD
SUITE 206
GARDEN GROVE, CA 928431902
Source: NPPES Source through Oct 18, 2026An NPI does not verify licensure or credentials.

Information may be outdated or incomplete. Confirm details directly with the practice. HCPList is an independent directory and is not affiliated with CMS.

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