Chino Pediatrics Medical Clinic, Inc.

LBN: Chino Pediatrics Medical Clinic, Inc.
Chino Pediatrics Medical Clinic, Inc. is an health care organization with primary practice located at 12584 Central Ave. , Chino CA 91710-3507. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as the primary health care specialty. Chino Pediatrics Medical Clinic, Inc. can be contacted via phone (909) 287-1800, or through So, Sandra Wang via phone (951) 333-9667.

Contact Information

Primary practice address
12584 Central Ave. Chino CA 91710-3507
Phone: (909) 287-1800
Fax: (909) 287-3300
Website:
Map and Directions
Authorized official contact:
Name: So, Sandra Wang Doctor of Medicine (MD)
Phone: (951) 333-9667

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X

Profile Details

NPI number 1881266344
LBN Legal business name Chino Pediatrics Medical Clinic, Inc.
DBA Doing business as
Authorized official So, Sandra Wang Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jul 14th, 2021
Last updated Jul 14th, 2021 - about 5 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 1881266344 NPPES
California MEDICAID 9397533

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