| NPI | 1538478094 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL GERARD PERERA President 626-445-1853 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207K00000X Allergy & Immunology (Licence: CA A26063) |
| Enumeration Date | 2010-10-01 |
| Last Update Date | 2010-10-01 |