| NPI | 1518034941 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY ANN WILKINSON Partner Secretary 949-951-5437 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: CA G067652) |
| Enumeration Date | 2006-11-29 |
| Last Update Date | 2020-08-22 |