Organization Active NPI

Cecile C. del Mundo, MD, PLLC

Doing business as Pediatric and Adolescent Center

  • Pediatrics Physician
  • London, KY
National Provider Identifier
1548428097
Registry record updated Jun 30, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
35193 Issued in KY
Legal business name
CECILE C. DEL MUNDO, MD, PLLC
Doing business as
Pediatric and Adolescent Center
Practice address
202 W 7TH St
Ste 201
London, KY 40741-1763
Phone
(606) 330-0566
Fax
(606) 330-0496
NPI assigned
May 30, 2008
Last updated
Jun 30, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Cecile C. Del Mundo, MD
Title
President
Phone
(606) 330-0566

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 35193 KY Primary

Addresses

Primary practice location

202 W 7TH St
Ste 201
London, KY 40741-1763

Mailing address

PO Box 1706
Corbin, KY 40702-1706
Phone (606) 330-0566

Other names 1

  • Pediatric and Adolescent Center Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1212105600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214784000000",
    "number": "1548428097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1706",
            "city": "CORBIN",
            "state": "KY",
            "postal_code": "407021706",
            "telephone_number": "606-330-0566",
            "fax_number": "606-330-0496"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "202 W 7TH ST",
            "address_2": "STE 201",
            "city": "LONDON",
            "state": "KY",
            "postal_code": "407411763",
            "telephone_number": "606-330-0566",
            "fax_number": "606-330-0496"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CECILE C. DEL MUNDO, MD, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-30",
        "last_updated": "2008-06-30",
        "status": "A",
        "authorized_official_last_name": "DEL MUNDO",
        "authorized_official_first_name": "CECILE",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "606-330-0566",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "KY",
            "license": "35193",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pediatric and Adolescent Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in London, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.