Chino Pediatric Medical Group

LBN: Chino Pediatric Medical Group
Chino Pediatric Medical Group is an health care organization with primary practice located at 15944 Los Serranos Country Club Dr Suite 220, Chino Hills CA 91709-3991. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as the primary health care specialty. Chino Pediatric Medical Group can be contacted via phone (909) 393-6202, or through Tsai, Daryl K via phone (909) 393-6202.

Contact Information

Primary practice address
15944 Los Serranos Country Club Dr Suite 220 Chino Hills CA 91709-3991
Fax: (909) 393-6204
Website:
Authorized official contact:
Name: Tsai, Daryl K Doctor of Medicine (MD)

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 27982 California

Profile Details

NPI number 1962486993
LBN Legal business name Chino Pediatric Medical Group
DBA Doing business as
Authorized official Tsai, Daryl K Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Dec 2nd, 2005
Last updated Jul 7th, 2014 - about 10 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 1962486993 NPPES
California MEDICAID 00A674780
California MEDICAID 1447235080
California MEDICAID 00A673880
California MEDICAID 1285619825

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