| NPI | 1619129954 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LILIA FERNANDEZ COPPA Owner/Director 805-302-6156 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: CA G77445) |
| Enumeration Date | 2008-10-17 |
| Last Update Date | 2009-07-23 |