Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Primary Pediatric and Adolescent Clinic, Incorporated

Organization Preferred Provider Organization · NPI 1326117516

Primary Pediatric and Adolescent Clinic, Incorporated is a Preferred Provider Organization in Rancho Cucamonga, California. Licensed in California. Registered with an NPI since 2006.

Licensed in
CA
In the registry since
2006

Practice location Address checks out

8599 Haven Ave Ste 101
Rancho Cucamonga, CA 91730-4849
Phone: (909) 466-8888
Fax: (909) 483-0164
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Preferred Provider Organization (primary) Taxonomy 305R00000X · Licence A33327 (CA)

Record details

NPI number1326117516
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Falahyah Mokhtar — Office Manager · (909) 466-8888
Other names Haven Family Medical Center, Incorporated
NPI enumeratedNovember 6, 2006
Last updated in NPPESAugust 22, 2020
Mailing address8599 Haven Ave, Ste. 101, Rancho Cucamonga, CA 91730-4849

Other providers in Rancho Cucamonga