Provider Demographics
NPI:1144104803
Name:SP PEDIATRICS
Entity type:Organization
Organization Name:SP PEDIATRICS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICAL DIRECTOR/PEDIATRICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:CHARLENE
Authorized Official - Middle Name:E
Authorized Official - Last Name:NAVES JARDIN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:949-391-9424
Mailing Address - Street 1:23120 ALICIA PKWY # 230
Mailing Address - Street 2:
Mailing Address - City:MISSION VIEJO
Mailing Address - State:CA
Mailing Address - Zip Code:92692-1210
Mailing Address - Country:US
Mailing Address - Phone:949-391-9424
Mailing Address - Fax:949-816-1856
Practice Address - Street 1:23120 ALICIA PKWY # 230
Practice Address - Street 2:
Practice Address - City:MISSION VIEJO
Practice Address - State:CA
Practice Address - Zip Code:92692-1210
Practice Address - Country:US
Practice Address - Phone:949-391-9424
Practice Address - Fax:949-816-1856
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-08-04
Last Update Date:2025-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208000000XAllopathic & Osteopathic PhysiciansPediatricsGroup - Single Specialty