Dr TRACEY R CHILDS is a female medical professional, specializing in General Surgery. She graduated in 1986 from University Of California, Ucla School Of Medicine.
PROVIDENCE SAINT JOHNS MEDICAL FOUNDATION
2001 SANTA MONICA BLVD
SUITE 680W
SANTA MONICA
CA
904042111
Tel: 3108298928
| Npi | 1114999489 |
| Pac Id | 4486820438 |
| Professional Enrollment Id | I20111222000296 |
| Last Name | CHILDS |
| First Name | TRACEY |
| Middle Name | R |
| Suffix | |
| Gender | F |
| Credential | |
| Medical School Name | UNIVERSITY OF CALIFORNIA, UCLA SCHOOL OF MEDICINE |
| Graduation Year | 1986 |
| Primary Specialty | GENERAL SURGERY |
| Secondary Specialty 1 | COLORECTAL SURGERY (PROCTOLOGY) |
| Secondary Specialty 2 | |
| Secondary Specialty 3 | |
| Secondary Specialty 4 | |
| All Secondary Specialties | COLORECTAL SURGERY (PROCTOLOGY) |
| Organization Legal Name | PROVIDENCE SAINT JOHNS MEDICAL FOUNDATION |
| Group Practice Pac Id | 0840548624 |
| Number Of Group Practice Members | 164 |
| Line 1 Street Address | 2001 SANTA MONICA BLVD |
| Line 2 Street Address | SUITE 680W |
| Marker Of Address Line 2 Suppression | |
| City | SANTA MONICA |
| State | CA |
| Zip Code | 904042111 |
| Phone Number | 3108298928 |
| Hospital Affiliation Ccn 1 | 050290 |
| Hospital Affiliation Lbn 1 | PROVIDENCE SAINT JOHN'S HEALTH CENTER |
| Hospital Affiliation Ccn 2 | |
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| Professional Accepts Medicare Assignment | Y |
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