FAIRWAY CHILDREN'S MEDICAL GROUP

WEST COVINA, CA
NPI1700510898
Entity TypeOrganization
Authorized ContactJACKYLN CHAN
Owner
909-630-8762
Organization Subpart ?No
Primary Taxonomy208000000X Pediatrics
Enumeration Date2022-07-13
Last Update Date2023-09-06
Business Address
FAIRWAY CHILDREN'S MEDICAL GROUP
2707 E VALLEY BLVD STE 215
WEST COVINA, CA 91792-3197
Phone number: 909-594-3382
Mailing Address
FAIRWAY CHILDREN'S MEDICAL GROUP
2434 S TAPESTRY WAY
ANAHEIM, CA 92802-6409
Phone number: 909-630-8762
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