| NPI | 1366493124 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BILLUR MOGHADDAM Assistant Professor 916-703-0413 |
| Organization Subpart ? | No |
| Primary Taxonomy | 281PC2000X Chronic Disease Hospital, Children (Licence: CA A89124) |
| Enumeration Date | 2006-05-15 |
| Last Update Date | 2008-06-23 |