Haven Pediatrics and Adolescent Care INC

NPI #1629372156 in Rancho Cucomonga, California

Provider Information

NPI Number: 1629372156
Entity Type: Organization
Organization Name: Haven Pediatrics and Adolescent Care INC
Primary Specialty: Pediatrics
Enumeration Date: Dec 23, 2010
Last Updated: Apr 4, 2017

Practice Location

Address: 10837 LAUREL ST
Address 2: STE 104
City: Rancho Cucomonga
State: California
ZIP Code: 91730
Phone: (909) 941-9955

Authorized Official

Name: DR. TAHA M. AHMED, MD
Title: MEDICAL PROVIDER
Phone: (909) 941-9955

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pediatrics	208000000X	Primary

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