Organization
GOLDSTAR PEDIATRICS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. IRMGARD UNA TACKIE MD (PHYSICIAN/CEO)
(909) 225-1900
Entity
Organization
Contact information
Practice address
15290 SUMMIT AVE, SUITE B, FONTANA, CA 92336-0240
(909) 225-1900
Mailing address
15290 SUMMIT AVE STE B, FONTANA, CA 92336-0240
(909) 225-1900
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
FNP544821
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4685141
—
CA
Enumeration date
10/22/2015
Last updated
12/23/2021
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us