| NPI | 1215160692 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TINA G SAWYER Biller 951-818-6347 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: CA A50421) |
| Enumeration Date | 2009-09-01 |
| Last Update Date | 2009-09-01 |