| NPI | 1508963653 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HECTOR NAHUN DE LA ROCHA President/Owner 323-728-3270 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: CA G42466) |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2013-08-14 |