| NPI | 1497821441 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARMEN JULIA BOTERO Medical Director 818-788-5437 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: CA A47742) |
| Additional Taxonomies | 2080P0202X Pediatrics Pediatric Cardiology (Licence: CA A47742) |
| 2080P0203X Pediatrics Pediatric Critical Care Medicine (Licence: CA A47742) | |
| Enumeration Date | 2006-11-28 |
| Last Update Date | 2012-10-17 |