Organization · Type 2 NPI
Pediatric Adolescent Clinic
Pediatric Adolescent Medicine Physician · Upland, CA
NPI number
1164859385
Active
Practice location
1214 Adriana Way
Upland, CA 91784-1742
Fax (909) 949-8836
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Adolescent Medicine Physician Primary | 2080A0000X | AFE33327 (CA) |
Pediatric Adolescent Medicine Physician: 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.
About NPI 1164859385
Pediatric Adolescent Clinic's National Provider Identifier is 1164859385, issued on Oct 2, 2013. The primary taxonomy on file is Pediatric Adolescent Medicine Physician (2080A0000X), and the practice location is in Upland, CA. The record was last updated on Oct 2, 2013.