Organization
ARROWHEAD PEDIATRICS MEDICAL GROUP, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WEBSTER ANDREW WONG M.D. (PRESIDENT)
(909) 580-3380
Entity
Organization
Contact information
Practice address
400 N PEPPER AVE, COLTON, CA 92324
(909) 580-3380
(909) 580-6361
Mailing address
400 N PEPPER AVE # 2MOB203, COLTON, CA 92324-1801
(909) 580-3380
(909) 580-6361
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1093843005
—
CA
Enumeration date
03/01/2007
Last updated
06/04/2020
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