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

Kiddox Medical Group, Inc

Organization Pediatrics Physician · NPI 1255479408

Kiddox Medical Group, Inc provides Pediatrics Physician services 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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