| NPI | 1225366305 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EVANGELINE GIDAYA ROXAS-BUTLIG President 310-373-7855 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: CA A78060) |
| Enumeration Date | 2009-11-30 |
| Last Update Date | 2021-04-16 |