| NPI | 1538304134 |
|---|---|
| Former Legal Business Name | ASPEN PEDIATRIC CLINIC,INC. |
| Entity Type | Organization |
| Authorized Contact | MARCELINO S CALIMLIM President 760-951-9985 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: CA A79537) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CA A79537) |
| Enumeration Date | 2008-12-10 |
| Last Update Date | 2012-03-27 |