Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Childrens Clinic, PA

Organization Pediatrics Physician · NPI 1679793277

Childrens Clinic, PA is a Pediatrics Physician in Los Alamos, New Mexico. Registered with an NPI since 2007.

In the registry since
2007
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

3917 W Rd Ste 128
Los Alamos, NM 87544-2275
Phone: (505) 662-4234
Fax: (505) 662-7894
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X

Record details

NPI number1679793277
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Michael Nichols — President · (505) 662-4234
NPI enumeratedApril 26, 2007
Last updated in NPPESAugust 22, 2020
Mailing address3917 West Rd, Suite 128, Los Alamos, NM 87544-2275

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