| NPI | 1306699814 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMY STEWART Executive Advisor 949-781-3040 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208000000X Pediatrics |
| Additional Taxonomies | 2080A0000X Pediatrics, Adolescent Medicine |
| Enumeration Date | 2024-04-08 |
| Last Update Date | 2025-07-10 |