| NPI | 1265563969 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GLADYS HOPE DADIVAS YERRO President 818-781-2796 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2080A0000X Pediatrics, Adolescent Medicine (Licence: CA A48553) |
| Enumeration Date | 2007-03-07 |
| Last Update Date | 2010-05-26 |