Haven Family Medical Center, Incorporated

LBN: Primary Pediatric And Adolescent Clinic, Incorporated
Haven Family Medical Center, Incorporated is an health care organization with primary practice located at 8599 Haven Ave Ste. 101, Rancho Cucamonga CA 91730-4849. The organization recently has only one registered license in Managed Care Organizations / Preferred Provider Organization, which is considered as the primary health care specialty. Primary Pediatric And Adolescent Clinic, Incorporated can be contacted via phone (909) 466-8888, or through Mokhtar, Falahyah via phone (909) 466-8888.

Contact Information

Primary practice address
8599 Haven Ave Ste. 101 Rancho Cucamonga CA 91730-4849
Phone: (909) 466-8888
Fax: (909) 483-0164
Website:
Map and Directions
Authorized official contact:
Name: Mokhtar, Falahyah
Phone: (909) 466-8888

Health care specialties

SpecialtyCodeLicense #State
Managed Care Organizations / Preferred Provider Organization 305R00000X A33327 California

Profile Details

NPI number 1326117516
LBN Legal business name Primary Pediatric And Adolescent Clinic, Incorporated
DBA Doing business as Haven Family Medical Center, Incorporated
Authorized official Mokhtar, Falahyah
Entity Organization
Organization subpart 1 No
Enumeration date Nov 6th, 2006
Last updated Aug 22nd, 2020 - about 4 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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