| NPI | 1639152820 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | L STEPHEN GORDON Owner 626-445-5552 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2080P0202X Pediatrics, Pediatric Cardiology (Licence: CA G12458) |
| Enumeration Date | 2005-11-22 |
| Last Update Date | 2007-07-23 |