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Organization
SIERRA PACIFIC PEDIATRIC ASSOCIATES
Active
Organization
SIERRA PACIFIC PEDIATRIC ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICHARD CHANG (MD)
(909) 829-7337
Entity
Organization
Contact information
Practice address
16465 SIERRA LAKES PKWY STE 245, FONTANA, CA 92336-1242
(909) 829-7337
(909) 829-1218
Mailing address
16465 SIERRA LAKES PKWY STE 245, FONTANA, CA 92336-1242
(909) 829-7337
(909) 829-1218
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
A86339
CA
Other
Enumeration date
08/22/2007
Last updated
07/10/2008
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