| NPI | 1073692406 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STUART CHUNG Administrator 714-540-0105 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology |
| Additional Taxonomies | 207SG0201X Medical Genetics, Clinical Genetics (M.D.) |
| 208000000X Pediatrics | |
| Enumeration Date | 2006-11-05 |
| Last Update Date | 2013-08-06 |