Provider Demographics
NPI:1467836098
Name:PEDIATRIC INFECTOLOGY GROUP, INC.
Entity Type:Organization
Organization Name:PEDIATRIC INFECTOLOGY GROUP, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:DR
Authorized Official - First Name:TEMPE
Authorized Official - Middle Name:KATHRYN
Authorized Official - Last Name:CHEN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:310-463-6653
Mailing Address - Street 1:PO BOX 92454
Mailing Address - Street 2:
Mailing Address - City:LONG BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:90809-2454
Mailing Address - Country:US
Mailing Address - Phone:562-933-8590
Mailing Address - Fax:562-933-8093
Practice Address - Street 1:2801 ATLANTIC AVE
Practice Address - Street 2:BICKERSTAFF PEDIATRIC FAMILY CENTER
Practice Address - City:LONG BEACH
Practice Address - State:CA
Practice Address - Zip Code:90806-1701
Practice Address - Country:US
Practice Address - Phone:562-933-8590
Practice Address - Fax:562-933-8093
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-07-14
Last Update Date:2015-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2080P0208XAllopathic & Osteopathic PhysiciansPediatricsPediatric Infectious DiseasesGroup - Single Specialty