Provider Demographics
NPI:1841379427
Name:SANTA CLARITA PEDIATRICS
Entity Type:Organization
Organization Name:SANTA CLARITA PEDIATRICS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PROVIDER
Authorized Official - Prefix:DR
Authorized Official - First Name:SUNANDA
Authorized Official - Middle Name:REDDY
Authorized Official - Last Name:VADAPALLI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:661-253-4971
Mailing Address - Street 1:23823 VALENCIA BLVD
Mailing Address - Street 2:SUITE 120
Mailing Address - City:VALENCIA
Mailing Address - State:CA
Mailing Address - Zip Code:91355-2103
Mailing Address - Country:US
Mailing Address - Phone:661-253-4971
Mailing Address - Fax:661-253-4972
Practice Address - Street 1:23823 VALENCIA BLVD
Practice Address - Street 2:SUITE 120
Practice Address - City:VALENCIA
Practice Address - State:CA
Practice Address - Zip Code:91355-2103
Practice Address - Country:US
Practice Address - Phone:661-253-4971
Practice Address - Fax:661-253-4972
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-03
Last Update Date:2014-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208000000XAllopathic & Osteopathic PhysiciansPediatricsGroup - Single Specialty