Goldstar Pediatrics PC

NPI #1427420009 in Fontana, California

Provider Information

NPI Number: 1427420009
Entity Type: Organization
Organization Name: Goldstar Pediatrics PC
Primary Specialty: Pediatrics
Enumeration Date: Oct 22, 2015
Last Updated: Dec 23, 2021

Practice Location

Address: 15290 SUMMIT AVE
Address 2: SUITE B
City: Fontana
State: California
ZIP Code: 92336-0240
Phone: (909) 225-1900

Authorized Official

Name: DR. IRMGARD UNA TACKIE, MD
Title: PHYSICIAN/CEO
Phone: (909) 225-1900

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pediatrics	208000000X	Primary

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