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Organization

EATON CANYON PEDIATRIC GROUP

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. LIONEL P NG M. D. (PRESIDENT)
(626) 794-8098
Entity
Organization

Contact information

Practice address
2750 E WASHINGTON BLVD, SUITE NUMBER 360, PASADENA, CA 91107-1448
(626) 794-8098
(626) 794-6723
Mailing address
2750 E WASHINGTON BLVD, SUITE NUMBER 360, PASADENA, CA 91107-1448
(626) 794-8098
(626) 794-6723

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
C28806
CA

Other

Enumeration date
03/06/2007
Last updated
08/22/2020
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