| NPI | 1043074610 |
|---|---|
| Doing Business As | GLENDALE PEDIATRICS & FAMILY CARE |
| Entity Type | Organization |
| Authorized Contact | ENRIQUE SION LOPEZ Physician 623-847-5300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Additional Taxonomies | 261QH0100X Clinic/Center, Health Services |
| Enumeration Date | 2024-02-13 |
| Last Update Date | 2024-02-13 |