| NPI | 1366547796 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANN MARIE TRUSCELLO President 209-522-0001 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: CA G68634) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CA G83542) |
| Enumeration Date | 2006-09-13 |
| Last Update Date | 2011-08-16 |