| NPI | 1477859098 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEWIS A. OSOFSKY Owner 408-378-6171 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 208000000X Pediatrics (Licence: CA G47908) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CA A77790) |
| Enumeration Date | 2011-01-28 |
| Last Update Date | 2016-12-29 |