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 provides Pediatrics Physician services 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
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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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