| NPI | 1548552193 |
|---|---|
| Doing Business As | SUFSIDE PEDIATRICS |
| Entity Type | Organization |
| Authorized Contact | KEVIN WHITE Owner/President 805-643-7500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: CA A74767) |
| Enumeration Date | 2011-05-13 |
| Last Update Date | 2020-07-01 |