| NPI | 1528144763 |
|---|---|
| Former Legal Business Name | KIDS CARE MED GROUP INC |
| Entity Type | Organization |
| Authorized Contact | SANDY S SHAW President 714-999-5144 |
| Organization Subpart ? | No |
| Primary Taxonomy | 282NC2000X General Acute Care Hospital, Children (Licence: CA 047879) |
| Enumeration Date | 2006-10-31 |
| Last Update Date | 2020-08-22 |