Organization
CHINO PEDIATRIC MEDICAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DARYL K TSAI M.D. (TREASURER)
(909) 393-6202
Entity
Organization
Contact information
Practice address
15944 LOS SERRANOS COUNTRY CLUB DR, SUITE 220, CHINO HILLS, CA 91709-3991
(909) 393-6202
(909) 393-6204
Mailing address
15944 LOS SERRANOS COUNTRY CLUB DR, SUITE 220, CHINO HILLS, CA 91709-3991
(909) 393-6202
(909) 363-6204
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
27982
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A673880
—
CA
05
—
00A674780
—
CA
05
—
1285619825
—
CA
05
—
1447235080
—
CA
Enumeration date
12/02/2005
Last updated
07/07/2014
Update your record
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