| NPI | 1548697352 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YING PENG, MD Owner 949-215-6662 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2080P0008X Pediatrics Neurodevelopmental Disabilities (Licence: CA A72981) |
| Enumeration Date | 2013-10-11 |
| Last Update Date | 2014-02-05 |