NPI | 1003917048 |
---|---|
Doing Business As | CHILDREN'S MEDICAL GROUP |
Former Legal Business Name | GWEN KLYMAN-FRIEND M.D., INC. |
Entity Type | Organization |
Authorized Contact | LAURA SERGIS Chief Executive Officer 310-539-2445 |
Organization Subpart ? | No |
Primary Taxonomy | 208000000X Pediatrics (Licence: CA G13850) |
Enumeration Date | 2006-09-25 |
Last Update Date | 2021-07-01 |