Provider Demographics
NPI:1295185254
Name:PAGLER, ELIZABETH SUWARTONO (MD)
Entity type:Individual
Prefix:DR
First Name:ELIZABETH
Middle Name:SUWARTONO
Last Name:PAGLER
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:11398 KENYON WAY STE J
Mailing Address - Street 2:
Mailing Address - City:RANCHO CUCAMONGA
Mailing Address - State:CA
Mailing Address - Zip Code:91701-9229
Mailing Address - Country:US
Mailing Address - Phone:909-727-3911
Mailing Address - Fax:909-727-3925
Practice Address - Street 1:11398 KENYON WAY STE J
Practice Address - Street 2:
Practice Address - City:RANCHO CUCAMONGA
Practice Address - State:CA
Practice Address - Zip Code:91701-9229
Practice Address - Country:US
Practice Address - Phone:909-727-3911
Practice Address - Fax:909-727-3925
Is Sole Proprietor?:No
Enumeration Date:2016-06-20
Last Update Date:2025-11-18
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Provider Licenses
StateLicense IDTaxonomies
CAA163137207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine