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HAVEN PEDIATRICS AND ADOLESCENT CARE INC NPI 1629372156


NPI Information

NPI: 1629372156
Provider Name: HAVEN PEDIATRICS AND ADOLESCENT CARE INC
Classification: Pediatrics - 208000000X
Entity Type: Organization
Address:
10837 LAUREL ST
STE 104
RANCHO CUCOMONGA, CA
ZIP 91730
Phone: (909) 941-9955
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HAVEN PEDIATRICS AND ADOLESCENT CARE INC is a pediatrics in Rancho Cucomonga, CA. The provider is 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 chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. HAVEN PEDIATRICS AND ADOLESCENT CARE INC NPI is 1629372156. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

10837 LAUREL ST
STE 104
RANCHO CUCOMONGA, CA
ZIP 91730
Phone: (909) 941-9955
Fax: (909) 941-9966

The provider's authorized official is Taha M. Ahmed .
The authorized official title is Medical Provider and has the following contact phone number (909) 941-9955.

The enumeration date for this NPI number is 12/23/2010 and was last updated on 4/4/2017.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1208000000XPediatricsA92596CALIFORNIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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