| NPI | 1215288048 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CATAREYA P LIEP President 909-988-8203 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208000000X Pediatrics |
| Additional Taxonomies | 261QP2300X Clinic/Center, Primary Care |
| Enumeration Date | 2012-09-19 |
| Last Update Date | 2012-09-19 |