The Pediatric & Adolescents Clinic Inc.

Key facts

NPI

1700646288

Entity type

Organization (NPI type 2)

Primary specialty

Pediatrics Physician 208000000X

Legal business name

THE PEDIATRIC & ADOLESCENTS CLINIC INC.

Practice address

415 Chalan San Antonio Ste 109
Tamuning, GU 96913-3620

Phone

(671) 647-7337

Fax

(671) 647-7336

NPI assigned

Mar 20, 2024

Organization subpart

No

Authorized official

Name

Dr. Dina D Domalanta-Villaluna, MD NPI 1760539464

Title

President

Phone

(671) 647-7337

Authorized official NPPES reports the authorized official by name only; the link goes to the one practitioner connected to this organization with that name.

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Dina D Domalanta-Villaluna, MD Pediatrics Physician · Tamuning, GU · NPI 1760539464
  NPD Authorized official PEDIATRICS

Laboratory certificates & supplier records

Name & address match These CMS records do not include an NPI. They are shown here because their name and street address match this provider’s.

CLIA laboratory certificates

National Provider Directory

Locations

Specialties & licenses

Addresses

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All providers in Tamuning, GU · Pediatrics Physician in Guam