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SIERRA PEDIATRIC CARDIOLOGY NPI 1881105047


NPI Information

NPI: 1881105047
Provider Name: SIERRA PEDIATRIC CARDIOLOGY
Classification: Pediatrics - 2080P0202X
Entity Type: Organization

Specialization: Pediatric Cardiology

Address:
1640 S GROVE AVE
SUITE C
ONTARIO, CA
ZIP 91761
Phone: (909) 477-8900
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SIERRA PEDIATRIC CARDIOLOGY is a pediatric cardiology pediatrics in Ontario, CA. The provider is a pediatric cardiologist provides comprehensive care to patients with cardiovascular problems. This specialist is skilled in selecting, performing and evaluating the structural and functional assessment of the heart and blood vessels, and the clinical evaluation of cardiovascular disease. SIERRA PEDIATRIC CARDIOLOGY NPI is 1881105047. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1640 S GROVE AVE
SUITE C
ONTARIO, CA
ZIP 91761
Phone: (909) 477-8900
Fax: (909) 277-7894

The provider's authorized official is Elizabeth Lai .
The authorized official title is Physician/owner and has the following contact phone number (909) 477-8900.

The enumeration date for this NPI number is 10/16/2017 and was last updated on 12/6/2023.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12080P0202XPediatricsPediatric CardiologyA112834CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11427210079MEDICAIDCALIFORNIA

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: 4/28/2024

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