| NPI | 1326131079 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NATHAN RENDLER President 858-487-8333 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: CA FNP18257) |
| Additional Taxonomies | 174400000X Specialist (Licence: CA 00G642310) |
| Enumeration Date | 2006-10-02 |
| Last Update Date | 2011-01-28 |