| NPI | 1508521519 |
|---|---|
| Doing Business As | PEDIATRIC DIAGNOSTIC CENTER |
| Doing Business As | PEDIATRIC SPECIALTY GROUP |
| Entity Type | Organization |
| Authorized Contact | SUN MOON LEE Medical Director 805-330-0706 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208000000X Pediatrics |
| Enumeration Date | 2021-11-04 |
| Last Update Date | 2021-12-16 |