| NPI | 1497881775 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THEODORE CHACONAS Head Of Dept 510-428-3786 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2080A0000X Pediatrics, Adolescent Medicine (Licence: CA G65093) |
| Enumeration Date | 2007-02-23 |
| Last Update Date | 2008-03-28 |