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Organization
VINEYARD PEDIATRIC MEDICAL CLINIC A PROFESSIONAL CORPORATION
Active
Organization
VINEYARD PEDIATRIC MEDICAL CLINIC A PROFESSIONAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HELEN C HUANG M.D. (CEO/PHYSICIAN)
(626) 810-8688
Entity
Organization
Contact information
Practice address
1850 S AZUSA AVE, SUITE 209, HACIENDA HTS, CA 91745-6813
(626) 810-8688
(626) 810-8978
Mailing address
1850 S AZUSA AVE, SUITE 209, HACIENDA HTS, CA 91745-6813
(626) 810-8688
(626) 810-8978
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
G69976
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G699760
—
CA
Enumeration date
04/09/2008
Last updated
04/09/2008
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