OrganizationDocs For(4) Kids Medical Office(<Unavail>)PediatricsAllopathic & Osteopathic PhysiciansPractice Address13372 Newport Ave, Suite B, Tustin, CA 92780-3426(714) 544-3430PECOS EnrollmentBased on the most recent information from CMS, provider Docs For(4) Kids Medical Office does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 4 days ago.Profile DetailsProvider ID1972959898Provider TypeOrganizationFull NameDocs For(4) Kids Medical OfficeOther Name<Unavail>SubpartNoEnumeration Date5/10/2016Last Updated5/16/2016Contact InformationPractice LocationPractice Address13372 Newport Ave, Suite B, Tustin, CA 92780-3426Phone(714) 544-3430Fax(714) 573-8330Mailing LocationMailing Address13372 Newport Ave, Suite B, Tustin, CA 92780-3426Phone(714) 544-3430Fax(714) 573-8330Authorized OfficialNamePatel, Sangeeta H (Owner)Phone(714) 544-3430Provider TaxonomiesCodeDescriptionLicenseCode2080A0000XPrimaryDescriptionPediatricsAllopathic & Osteopathic PhysiciansLicenseA49867CaliforniaProvider IdentifiersIDDescriptionIssuerID00A49867DescriptionMedicaidIssuerUnlistedCalifornia