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RANCHO PEDIATRIC ASSOCIATES NPI 1336216407


NPI Information

NPI: 1336216407
Provider Name: RANCHO PEDIATRIC ASSOCIATES
Classification: Specialist - 174400000X
Entity Type: Organization
Address:
7777 MILLIKEN AVE STE 130
RANCHO CUCAMONGA, CA
ZIP 91730
Phone: (909) 941-7008
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RANCHO PEDIATRIC ASSOCIATES is a specialist in Rancho Cucamonga, CA. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. RANCHO PEDIATRIC ASSOCIATES NPI is 1336216407. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

7777 MILLIKEN AVE STE 130
RANCHO CUCAMONGA, CA
ZIP 91730-781
Phone: (909) 941-7008
Fax: (909) 481-6855

The provider's authorized official is Peter David Ambrose .
The authorized official title is Pysician and has the following contact phone number (909) 941-7008.

The enumeration date for this NPI number is 11/30/2006 and was last updated on 8/22/2020.


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
1174400000XSpecialistG-21832CALIFORNIAYes

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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