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Premalata Manickam, MD
Pediatrics Physician in Fontana, California
NPI 1154353654

Premalata Manickam is a Pediatrics Physician based in Fontana, CA. Premalata Manickam practices in Fontana, CA and has the professional credentials of MD. The NPI Number for Premalata Manickam is 1154353654 and holds a License No. C52156 (California).

The current practice location address for Premalata Manickam is 9985 Sierra Ave, Fontana, CA and can be reached out via phone at 909-427-5993 and via fax at 909-427-4287.

Location: 9985 Sierra Ave, Fontana, CA, 92335-6720
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1154353654
Provider Name
Premalata Manickam
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
9985 Sierra Ave, Fontana, CA, 92335-6720
Phone Number
909-427-5993
Fax Number
909-427-4287
Provider Enumeration Date
07/07/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
3386785 05 MI
institution
Provider Business Practice Location Address Details
Address
9985 Sierra Ave
City
Fontana
State
California
Zip
92335-6720
Phone Number
909-427-5993
Fax Number
909-427-4287
person
Provider Business Mailing Address Details
Address
9985 Sierra Ave
City
Fontana
State
California
Zip
92335-6720
Phone Number
909-427-5993
Fax Number
909-427-4287
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Pediatrics
Speciality
-
Taxonomy
208000000X
License No.
C52156 (California)
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
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