PEDIATRIC ADOLESCENT CLINIC is an adolescent medicine pediatrics in Upland, CA. The provider is a pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs. PEDIATRIC ADOLESCENT CLINIC NPI is 1164859385. The provider is registered as an organization entity type and is a single specialty group.
The provider's business location address is:
1214 ADRIANA WAY
UPLAND, CA
ZIP 91784-742
Phone: (909) 946-4155
Fax: (909) 949-8836
The provider's authorized official is Raouf Aziz Ibrahim .
The authorized official title is Pediatrician and has the following contact phone number (909) 946-4175.
The enumeration date for this NPI number is 10/2/2013 and was last updated on 10/2/2013.