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
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