| NPI | 1336379700 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PRITI DESAI Owner 626-332-4543 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2080A0000X Pediatrics Adolescent Medicine (Licence: CA A80894) |
| Enumeration Date | 2009-07-20 |
| Last Update Date | 2009-07-20 |