| NPI | 1043182116 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACKIE MILAN Office Manager 714-224-8853 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2080P0203X Pediatrics, Pediatric Critical Care Medicine |
| Enumeration Date | 2025-09-19 |
| Last Update Date | 2025-09-19 |