| NPI | 1043069818 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LINDA CHEN President 800-243-3839 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2086S0120X Surgery Pediatric Surgery |
| Additional Taxonomies | 2080P0205X Pediatrics Pediatric Endocrinology |
| 208800000X Urology | |
| 2088P0231X Urology Pediatric Urology | |
| 2080P0202X Pediatrics Pediatric Cardiology | |
| Enumeration Date | 2024-05-15 |
| Last Update Date | 2024-05-15 |