| NPI | 1023134210 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RON JONATHAN BAHAR President Of Corporation 818-905-6600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2080P0206X Pediatrics, Pediatric Gastroenterology |
| Enumeration Date | 2007-03-21 |
| Last Update Date | 2013-09-06 |