Organization
HAVEN PEDIATRICS AND ADOLESCENT CARE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TAHA M. AHMED MD (MEDICAL PROVIDER)
(909) 941-9955
Entity
Organization
Contact information
Practice address
10837 LAUREL ST, STE 104, RANCHO CUCOMONGA, CA 91730
(909) 941-9955
(909) 941-9966
Mailing address
10837 LAUREL ST, STE 104, RANCHO CUCOMONGA, CA 91730
(909) 941-9955
(909) 941-9966
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
A92596
CA
Other
Enumeration date
12/23/2010
Last updated
04/04/2017
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