PEDIATRIC ADOLESCENT CLINIC
NPI 1164859385
Pediatrics - Adolescent Medicine in Upland, CA
- Organization
- Pediatrics
- Adolescent Medicine
About PEDIATRIC ADOLESCENT CLINIC
This page provides the complete NPI Profile along with additional information for Pediatric Adolescent Clinic, a pediatrician established in Upland, California operating as a Pediatrics, focusing in adolescent medicine . The healthcare provider is registered in the NPI registry with number 1164859385 assigned on October 2013. The practitioner's primary taxonomy code is 2080A0000X with license number AFE33327 (CA). The provider is registered as an organization and their NPI record was last updated 13 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Dr. Raouf Aziz Ibrahim I M.d. (Pediatrician)
- NPI
- 1164859385 Verify this NPI
- Provider Name
- PEDIATRIC ADOLESCENT CLINIC
- Entity Type
- Organization
- Location Address
- 1214 ADRIANA WAY UPLAND, CA 91784
- Location Phone
- (909) 946-4155
- Location Fax
- (909) 949-8836
- Mailing Address
- 1214 ADRIANA WAY UPLAND, CA 91784
- Mailing Phone
- (909) 946-4155
- Mailing Fax
- (909) 949-8836
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 10-02-2013
- Last Update Date
- 10-02-2013
- Code Navigator
A pediatrician like Pediatric Adolescent Clinic is a physician who has completed a pediatric residency and is board-certified or board-eligible in a pediatric specialty. Pediatric care providers are trained to care for newborns, infants, children and adolescents. A pediatrician could perform physical exams, manage vaccinations, monitor development milestones, diagnose illnesses, infections, injuries or other health problems, etc.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Pediatrics Adolescent Medicine
- Taxonomy Code
- 2080A0000X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- AFE33327
- License State
- CA
- Taxonomy Description
- A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.
Group Taxonomy 193400000X SINGLE SPECIALTY GROUP
This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.
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Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1164859385, enumerated as an "organization" on October 02, 2013.
The provider is located at 1214 ADRIANA WAY UPLAND, CA 91784 and the phone number is (909) 946-4155.
Pediatrics with taxonomy code 2080A0000X and a focus in Adolescent Medicine.
