| NPI | 1013190826 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELENEA M MEDINA Md 949-364-3532 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: CA A83978) |
| Enumeration Date | 2007-12-14 |
| Last Update Date | 2007-12-14 |