| NPI | 1003993775 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SYLVIA RIKA CALIENDO C.F.O./Practice Administrator 949-364-3532 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208000000X Pediatrics |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 363LP0200X Nurse Practitioner, Pediatrics | |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2019-08-02 |