OrganizationActive
Childrens Clinic, P.A.
NPI 1679793277 · Pediatrics Physician · Los Alamos, NM
Provider details
- NPI number
- 1679793277
- Entity type
- Organization
- Primary specialty
- Pediatrics PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Michael Nichols, President(505) 662-4234
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
3917 West Rd
Suite 128
Los Alamos, NM 87544-2275
Phone: (505) 662-4234
Fax: (505) 662-7894
Approximate (ZIP-level) locationGet directions
Mailing address
3917 West Rd
Los Alamos, NM 87544-2275
Registry dates
- Enumerated
- 2007-04-26
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.