Provider Demographics
NPI:1235209248
Name:CHINO HILLS PEDIATRICS INC.
Entity Type:Organization
Organization Name:CHINO HILLS PEDIATRICS INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:JOEL
Authorized Official - Middle Name:RIGOR
Authorized Official - Last Name:DE LA MERCED
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:909-902-9998
Mailing Address - Street 1:2140 GRAND AVE.
Mailing Address - Street 2:SUITE 210
Mailing Address - City:CHINO HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:91709
Mailing Address - Country:US
Mailing Address - Phone:909-902-9998
Mailing Address - Fax:909-902-0995
Practice Address - Street 1:2140 GRAND AVE.
Practice Address - Street 2:SUITE 210
Practice Address - City:CHINO HILLS
Practice Address - State:CA
Practice Address - Zip Code:91709
Practice Address - Country:US
Practice Address - Phone:909-902-9998
Practice Address - Fax:909-902-0995
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-08
Last Update Date:2023-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA50414208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208000000XAllopathic & Osteopathic PhysiciansPediatricsGroup - Single Specialty