| NPI | 1497812960 |
|---|---|
| Former Legal Business Name | CHILDREN'S ASSOCIATED MEDICAL GROUP |
| Entity Type | Organization |
| Authorized Contact | HERBERT C. KIMMONS Credentialing 858-966-8567 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology |
| Additional Taxonomies | 207ZP0101X Pathology, Anatomic Pathology |
| 207ZP0213X Pathology, Pediatric Pathology | |
| Enumeration Date | 2007-01-03 |
| Last Update Date | 2008-04-22 |