Pediatric Adolescent Clinic

LBN: Pediatric Adolescent Clinic
Pediatric Adolescent Clinic is an health care organization with primary practice located at 1214 Adriana Way , Upland CA 91784-1742. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Adolescent Medicine, which is considered as the primary health care specialty. Pediatric Adolescent Clinic can be contacted via phone (909) 946-4155, or through Ibrahim, Raouf Aziz via phone (909) 946-4175.

Contact Information

Primary practice address
1214 Adriana Way Upland CA 91784-1742
Phone: (909) 946-4155
Fax: (909) 949-8836
Website:
Map and Directions
Authorized official contact:
Name: Ibrahim, Raouf Aziz Doctor of Medicine (MD)
Phone: (909) 946-4175

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Adolescent Medicine 2080A0000X AFE33327 California

Profile Details

NPI number 1164859385
LBN Legal business name Pediatric Adolescent Clinic
DBA Doing business as
Authorized official Ibrahim, Raouf Aziz Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Oct 2nd, 2013
Last updated Oct 2nd, 2013 - about 12 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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