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

Los Alamos Pediatric Clinic

Organization Pediatrics Physician · NPI 1245248830

Los Alamos Pediatric Clinic is a Pediatrics Physician in Los Alamos, New Mexico. Licensed in New Mexico. Registered with an NPI since 2006.

Licensed in
NM
In the registry since
2006

Practice location Address checks out

3917 W Rd Ste 136
Los Alamos, NM 87544
Phone: (505) 662-9620
Fax: (505) 662-0024
Show map & directions

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

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence 79195 (NM)

Record details

NPI number1245248830
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jacqueline Krohn — President · (509) 662-9620
NPI enumeratedAugust 3, 2006
Last updated in NPPESAugust 22, 2020
Mailing address3917 West Road, Suite 136, Los Alamos, NM 87544

Other providers in Los Alamos