Haven Pediatrics and Adolescent Care Inc
Organization Active NPI Pediatrics Physician · Rancho Cucomonga, CA
NPI 1629372156 · NPPES record last updated Apr 4, 2017
Key facts
- NPI
- 1629372156
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Pediatrics Physician 208000000X
- License
- A92596 (CA)
- Legal business name
- HAVEN PEDIATRICS AND ADOLESCENT CARE INC
- Practice address
- 10837 Laurel St
Ste 104
Rancho Cucomonga, CA 91730 - Phone
- (909) 941-9955
- Fax
- (909) 941-9966
- NPI assigned
- Dec 23, 2010
- Organization subpart
- No
Authorized official
- Name
- Dr. Taha M. Ahmed, MD
- Title
- Medical Provider
- Phone
- (909) 941-9955
Practitioners 1
-
Taha Abdelaal, M.D
National Provider Directory
Locations
12611 9th St
Ste E
Chino, CA 91710
Phone (909) 606-4860
8599 Haven Ave
Ste 103
Rancho Cucamonga, CA 91730
Phone (909) 941-9955
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician |
208000000X | A92596 | CA | Yes |
Addresses
Primary practice location
10837 Laurel St
Ste 104
Rancho Cucomonga, CA 91730
Mailing address
10837 Laurel St
Ste 104
Rancho Cucomonga, CA 91730
Phone (909) 941-9955
Other providers in Rancho Cucomonga, CA
All providers in Rancho Cucomonga, CA · Pediatrics Physician in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 4, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.