| NPI | 1003301573 |
|---|---|
| Doing Business As | NEW VALLEY PEDIATRIC CLINIC |
| Entity Type | Organization |
| Authorized Contact | SHAMS MOUSAVILAR Pediatrician 626-727-2150 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Enumeration Date | 2018-06-27 |
| Last Update Date | 2018-06-27 |