is a Pediatrics in Corona, California. practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for is 1427169366. The last update date is .
's current location address is 900 S Main St Ste 108, Corona, California. You can contact this provider via phone number 9517345450 and fax number 9517346009. The mailing address for is 900 S Main St Ste 108, Corona, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | |
|---|---|
| Address | 900 S Main St Ste 108, Corona, California |
| Phone Number | 9517345450 |
| Fax Number | 9517346009 |
| Sole Proprietor | -- |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1427169366 |
|---|---|
| Provider Enumeration Date | |
| Last Updated Date |
Provider Mailing Address Detail
| Address | 900 S Main St Ste 108 |
|---|---|
| City | Corona |
| State | California (CA) |
| Post Code | 928823401 |
| Phone Number | 9517345450 |
| Fax Number | 9517346009 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatrics |
|---|---|
| Taxonomy | 208000000X |
|
Definition: A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| GR0046400 | CA | MEDI-CAL | |
| CD320A | CA | MEDICARE PTAN | |
| A31855 | CA | MEDICARE PTAN |
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