| NPI | 1235668971 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PHILIP CHENG President 209-609-8986 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine |
| Additional Taxonomies | 208000000X Pediatrics |
| Enumeration Date | 2017-06-07 |
| Last Update Date | 2017-06-07 |