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

Kiddox Medical Group, Inc

Organization Pediatrics Physician · NPI 1255479408

Kiddox Medical Group, Inc is a Pediatrics Physician in Santa Monica, California. Licensed in California. Registered with an NPI since 2007.

Licensed in
CA
In the registry since
2007
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1245 16th St #305
Santa Monica, CA 90404-1235
Phone: (310) 453-9010
Fax: (310) 828-3661
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence G24539 (CA)

Record details

NPI number1255479408
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jeffrey Bourne — Secretary · (310) 453-9010
NPI enumeratedFebruary 1, 2007
Last updated in NPPESAugust 22, 2020
Mailing address1245 16th St, 305, Santa Monica, CA 90404-1235

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