Central Pediatrics Medical Group

LBN: Central Pediatrics Medical Group
Central Pediatrics Medical Group is an health care organization with primary practice located at 12598 Central Ave Suite A, Chino CA 91710. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as the primary health care specialty. Central Pediatrics Medical Group can be contacted via phone (909) 364-1234, or through Lim, Carolyne Tan via phone (909) 364-1234.

Contact Information

Primary practice address
12598 Central Ave Suite A Chino CA 91710
Phone: (909) 364-1234
Fax: (909) 364-1227
Website:
Map and Directions
Authorized official contact:
Name: Lim, Carolyne Tan Doctor of Medicine (MD)
Phone: (909) 364-1234

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X A55951 California

Profile Details

NPI number 1396777843
LBN Legal business name Central Pediatrics Medical Group
DBA Doing business as
Authorized official Lim, Carolyne Tan Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jul 7th, 2006
Last updated Feb 18th, 2011 - about 15 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1396777843 NPPES
California MEDICAID GR0079780

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