| NPI | 1093081119 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NAOMI LOPEZ Business Office Administrator 661-634-0955 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: CA A72966) |
| Enumeration Date | 2012-03-23 |
| Last Update Date | 2012-03-23 |