| NPI | 1386748614 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AUDRA DEVEIKIS Medical Director 562-933-8590 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2080P0208X Pediatrics, Pediatric Infectious Diseases (Licence: CA A40896) |
| Enumeration Date | 2006-09-08 |
| Last Update Date | 2019-02-12 |