| NPI | 1184759599 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA WILLARD KESSENICH Office Manager 310-264-2100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: CA CAG46186) |
| Enumeration Date | 2007-02-23 |
| Last Update Date | 2020-08-22 |