| NPI | 1306111869 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHERIN DEVASKAR Md 310-206-1826 |
| Organization Subpart ? | No |
| Primary Taxonomy | 281PC2000X Chronic Disease Hospital, Children (Licence: CA A119502) |
| Enumeration Date | 2012-03-16 |
| Last Update Date | 2012-03-16 |