| NPI | 1639585482 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHAHIDA DADABHOY President 909-865-5555 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2080A0000X Pediatrics, Adolescent Medicine (Licence: CA A51315) |
| Enumeration Date | 2014-07-01 |
| Last Update Date | 2014-07-01 |