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CULVER CITY PEDIATRICS
NPI 1023151123
Pediatrics in Culver City, CA

Active since February 15, 2007
9696 CULVER BLVD, SUITE 108, CULVER CITY, CA 90232(310) 204-6897 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Culver City Pediatrics NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CULVER CITY PEDIATRICS (NPI 1023151123) is a healthcare organization registered as a pediatrics in Culver City, California and active in the NPI registry since February 2007. The organization lists Jeffrey Penso, Owner, as its authorized official.

NPPES Registry Identity

NPI1023151123
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NameCULVER CITY PEDIATRICS
Location Address9696 CULVER BLVD, SUITE 108Culver City, CA 90232-2700
Mailing Address9696 Culver Blvd, Suite 108Culver City, CA 90232-2700 · (310) 204-6897
Phone(310) 204-6897
Organization SubpartNo
Authorized OfficialJeffrey PensoOwner · (310) 204-6897
Enumeration DateFebruary 15, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1023151123 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in CA · G19153
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
9696 CULVER BLVD, Culver City, CA 90232
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Other Identifiers 1

MedicaidGR0102600CA

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

NANCY LEE BLUMSTEIN MD
Pediatrics
9696 CULVER BLVD, SUITE 108
CULVER CITY, CA 90232
Los Angeles County (310) 204-6897
TANJA JOSIMOV
Counselor (Mental Health)
9696 CULVER BLVD
CULVER CITY, CA 90232
Los Angeles County (213) 674-1882
RACHELLE ELIAS LMFT
Marriage & Family Therapist
9696 CULVER BLVD, STE 303
CULVER CITY, CA 90232
Los Angeles County (310) 559-2025

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Culver City Pediatrics's NPI number?

The NPI number for Culver City Pediatrics is 1023151123. It was assigned to this organization in the NPPES registry on February 15, 2007.

Where is Culver City Pediatrics located?

Culver City Pediatrics is located at 9696 Culver Blvd Suite 108, Culver City, CA 90232. The listed phone number is (310) 204-6897.

What is Culver City Pediatrics's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

When was this NPI record last updated?

The NPPES record for Culver City Pediatrics was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.