| NPI | 1407989759 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MERLITA BORJA EVANGELISTA Pediatrician 440-779-1615 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: CA 33899) |
| Enumeration Date | 2007-03-14 |
| Last Update Date | 2020-08-22 |