| NPI | 1336296565 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSANA VISDA SANTIAGO-SORIANO President 213-388-2508 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: CA A68987) |
| Enumeration Date | 2007-01-03 |
| Last Update Date | 2008-01-29 |