| NPI | 1003018474 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA E ANTHONY Office Mgr 949-706-2751 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2080P0208X Pediatrics, Pediatric Infectious Diseases (Licence: CA G50878) |
| Enumeration Date | 2007-06-05 |
| Last Update Date | 2009-05-04 |