| NPI | 1487864377 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY JANE ZEHNPFENNIG Executive Director 818-708-2292 |
| Organization Subpart ? | No |
| Primary Taxonomy | 133VN1004X Dietitian, Registered, Nutrition, Pediatric (Licence: CA 838470) |
| Additional Taxonomies | 2251P0200X Physical Therapist, Pediatrics (Licence: CA 22161) |
| 225XP0200X Occupational Therapist, Pediatrics (Licence: CA 4979) | |
| Enumeration Date | 2007-05-22 |
| Last Update Date | 2025-09-11 |