| NPI | 1174128482 |
|---|---|
| Doing Business As | SUMMIT PEDIATRIC MEDICAL CLINIC |
| Entity Type | Organization |
| Authorized Contact | LEON YAN Md/Owner 951-412-1610 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Additional Taxonomies | 261QM1300X Clinic/Center Multi-Specialty |
| Enumeration Date | 2020-12-03 |
| Last Update Date | 2020-12-04 |