NPI | 1316164908 |
---|---|
Entity Type | Organization |
Authorized Contact | ERIC MCCLOUD President 310-325-1229 |
Organization Subpart ? | No |
Primary Taxonomy | 2080P0206X Pediatrics, Pediatric Gastroenterology (Licence: CA G61054) |
Enumeration Date | 2007-04-18 |
Last Update Date | 2007-10-29 |