| NPI | 1043424971 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVE RANDAL EJERCITO FIRME President 909-981-5738 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: CA A056129) |
| Enumeration Date | 2007-05-10 |
| Last Update Date | 2020-08-22 |