| NPI | 1144598897 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAM VAN LE President 714-894-9666 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: CA A42446) |
| Additional Taxonomies | 208D00000X General Practice (Licence: CA A42446) |
| Enumeration Date | 2011-12-09 |
| Last Update Date | 2011-12-09 |