| NPI | 1275975104 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK KELLY Cs Director, Business Services 714-509-7964 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 2080P0006X Pediatrics Developmental - Behavioral Pediatrics |
| Additional Taxonomies | 2080P0201X Pediatrics Pediatric Allergy/Immunology |
| 2080P0202X Pediatrics Pediatric Cardiology | |
| 2080P0203X Pediatrics Pediatric Critical Care Medicine | |
| 2080P0205X Pediatrics Pediatric Endocrinology | |
| 2080P0206X Pediatrics Pediatric Gastroenterology | |
| 2080P0207X Pediatrics Pediatric Hematology-Oncology | |
| 2080P0208X Pediatrics Pediatric Infectious Diseases | |
| 2080P0214X Pediatrics Pediatric Pulmonology | |
| 207W00000X Ophthalmology | |
| 207KA0200X Allergy & Immunology Allergy | |
| 207YP0228X Otolaryngology Pediatric Otolaryngology | |
| 207SG0201X Medical Genetics Clinical Genetics (M.D.) | |
| 2080N0001X Pediatrics Neonatal-Perinatal Medicine | |
| 208000000X Pediatrics | |
| Enumeration Date | 2013-07-19 |
| Last Update Date | 2018-06-26 |