| NPI | 1275608895 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROGER Y. TAKLA President 562-491-9001 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: CA A29866) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CA A43079) |
| Enumeration Date | 2006-11-21 |
| Last Update Date | 2012-10-29 |