| NPI | 1376843771 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KASIN EKMAHA CHAI President Of Corporation 714-966-0646 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208000000X Pediatrics |
| Additional Taxonomies | 208D00000X General Practice |
| Enumeration Date | 2010-11-01 |
| Last Update Date | 2013-07-23 |