| NPI | 1013525997 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KARA NORDBERG Accounts Administrator 949-492-3514 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2080N0001X Pediatrics Neonatal-Perinatal Medicine |
| Enumeration Date | 2020-07-16 |
| Last Update Date | 2020-07-16 |