Provider Demographics
NPI:1467047753
Name:ROYALKIDS CLINIC
Entity Type:Organization
Organization Name:ROYALKIDS CLINIC
Other - Org Name:ROYALKIDS PEDIATRIC CLINIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/MD
Authorized Official - Prefix:
Authorized Official - First Name:RITI
Authorized Official - Middle Name:S
Authorized Official - Last Name:DAYAL
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:904-235-6611
Mailing Address - Street 1:18 ENDEAVOR STE 203
Mailing Address - Street 2:
Mailing Address - City:IRVINE
Mailing Address - State:CA
Mailing Address - Zip Code:92618-3181
Mailing Address - Country:US
Mailing Address - Phone:904-235-6611
Mailing Address - Fax:855-618-2214
Practice Address - Street 1:18 ENDEAVOR STE 203
Practice Address - Street 2:
Practice Address - City:IRVINE
Practice Address - State:CA
Practice Address - Zip Code:92618-3181
Practice Address - Country:US
Practice Address - Phone:949-910-3457
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-03-08
Last Update Date:2021-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208000000XAllopathic & Osteopathic PhysiciansPediatricsGroup - Single Specialty