Organization
KACEY TSCHOMBOR
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KACEY J TSCHOMBOR (COTA)
(714) 742-2942
Entity
Organization
Contact information
Practice address
3262 HILLTOP DR, CHINO HILLS, CA 91709-4206
(714) 742-2942
Mailing address
3262 HILLTOP DR, CHINO HILLS, CA 91709-4206
(714) 742-2942
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Enumeration date
03/04/2016
Last updated
03/04/2016
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