Premalata Manickam, M.D. is a pediatrics in Fontana, 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. Premalata Manickam, M.D. NPI is 1154353654. The provider is registered as an individual entity type and is a multi-specialty group.
The NPPES NPI record indicates the provider is a female.
The provider's business location address is:
9985 SIERRA AVE
KAISER PERMANENTE, MOB 2B
FONTANA, CA
ZIP 92335-720
Phone: (909) 427-5993
Fax: (909) 427-4287
The NPI 1154353654 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.
The enumeration date for this NPI number is 7/7/2006 and was last updated on 10/13/2021.