Primary Pediatric And Adolescent Clinic, Incorporated in Rancho Cucamonga - Preferred Provider Organization
Primary Pediatric And Adolescent Clinic, Incorporated - NPI 1326117516
Primary Pediatric And Adolescent Clinic, Incorporated is a Preferred Provider Organization in Rancho Cucamonga, California. Primary Pediatric And Adolescent Clinic, Incorporated practices all healthcare services and medical treatments related to Preferred Provider Organization. The NPI Number for Primary Pediatric And Adolescent Clinic, Incorporated is 1326117516. The last update date is 2020-08-22.
Primary Pediatric And Adolescent Clinic, Incorporated's current location address is 8599 Haven Ave, Rancho Cucamonga, California. You can contact this provider via phone number 9094668888 and fax number 9094830164. The mailing address for Primary Pediatric And Adolescent Clinic, Incorporated is 8599 Haven Ave, Rancho Cucamonga, California. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Primary Pediatric And Adolescent Clinic, Incorporated |
|---|---|
| Address | 8599 Haven Ave, Rancho Cucamonga, California |
| Phone Number | 9094668888 |
| Fax Number | 9094830164 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OFFICE MAN |
|---|---|
| Authorized Official Name | Mokhtar Falahyah |
| Telephone Number | 9094668888 |
NPI Number Detail
| NPI Number | 1326117516 |
|---|---|
| Provider Enumeration Date | 2006-11-06 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 8599 Haven Ave |
|---|---|
| City | Rancho Cucamonga |
| State | California (CA) |
| Post Code | 917304849 |
| Phone Number | 9094668888 |
| Fax Number | 9094830164 |
Provider's Primary Taxonomy Detail
| Speciality | Preferred Provider Organization |
|---|---|
| Taxonomy | 305R00000X |
| Licence No | A33327 |
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Definition: A group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient rec |
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Post Comment/ Review Below
What is the unique provider identifier assigned to Primary Pediatric And Adolescent Clinic, Incorporated?
The Primary Pediatric And Adolescent Clinic, Incorporated has been issued the NPI (National Provider Identifier) 1326117516 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you provide the complete physical address where Primary Pediatric And Adolescent Clinic, Incorporated is located?
The Primary Pediatric And Adolescent Clinic, Incorporated is situated at the following address: 8599 Haven Ave, Rancho Cucamonga, CA, 917304849.
What is Primary Pediatric And Adolescent Clinic, Incorporated's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Primary Pediatric And Adolescent Clinic, Incorporated's specialized field of practice is Preferred Provider Organization, and the corresponding taxonomy code that categorizes this area of specialization is 305R00000X.
On what date was the 1326117516 assigned to Primary Pediatric And Adolescent Clinic, Incorporated?
The Primary Pediatric And Adolescent Clinic, Incorporated was issued its 1326117516 on 2006-11-06, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information pertaining to Primary Pediatric And Adolescent Clinic, Incorporated, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Primary Pediatric And Adolescent Clinic, Incorporated, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2020-08-22.