| NPI | 1649404864 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MIGUEL A. MORENL Physician 408-772-9816 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2080P0008X Pediatrics, Neurodevelopmental Disabilities (Licence: TX N2673) |
| Enumeration Date | 2009-05-04 |
| Last Update Date | 2009-05-04 |