| NPI | 1275351561 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELIZABETH S GENDY-SHAKER President 951-977-1082 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2080P0214X Pediatrics, Pediatric Pulmonology |
| Additional Taxonomies | 208000000X Pediatrics |
| Enumeration Date | 2024-09-26 |
| Last Update Date | 2024-11-06 |