Organization
HOLLENBERG AGRAWAL KNOLL WARREN HONG FUNG TILLIS KAUSHAL MDS
Active
Other names
Pomona Pediatrics
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JIM HOLLENBERG (STAFF/IT)
(909) 620-1935
Entity
Organization
Contact information
Practice address
250 W BONITA AVE, #200, POMONA, CA 91767-1850
(909) 620-1935
(909) 865-7688
Mailing address
250 W BONITA AVE, #200, POMONA, CA 91767-1850
(909) 620-1935
(909) 865-7688
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
GR0066720
MEDI CAL GROUP NUMBER
CA
Enumeration date
06/14/2005
Last updated
07/30/2014
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up