PROVIDENCE PEDIATRICS INC
Ambulatory Health at Rinaldi St, San Fernando, CA

License number
California A046156
Category
Ambulatory Health
Type
Primary Care
Owner
Name: DR. VICTOR G TAMASHIRO M.D.
Title: OWNER
Phone: (818) 365-7783
Address
Address
14901 Rinaldi St SUITE 300, San Fernando, CA 91345
National Provider ID: 1356632483
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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PROVIDENCE PEDIATRICS INC

14901 Rinaldi St SUITE 300, Mission Hills, CA 91345

Registration:
Mar 10, 2011
State ID:
C3365215
Agent:
Victor German Tamashiro,Mission Hills, CA 91345 (Physical)

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