| NPI | 1366534760 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PRAFUL SARODE CEO 714-547-5444 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: CA A43383) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: CA A43383) |
| 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: CA A43383) | |
| 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: CA A43383) | |
| 2080P0214X Pediatrics, Pediatric Pulmonology (Licence: CA A43383) | |
| 2083P0011X Preventive Medicine, Undersea and Hyperbaric Medicine (Licence: CA A43383) | |
| 208M00000X Hospitalist (Licence: CA A43383) | |
| Enumeration Date | 2006-09-30 |
| Last Update Date | 2008-01-13 |