| NPI | 1073892329 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELIZABETH FARACE Manager 714-516-4295 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2080P0006X Pediatrics, Developmental - Behavioral Pediatrics |
| Enumeration Date | 2011-08-04 |
| Last Update Date | 2011-08-04 |