| NPI | 1659577369 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMOD MOOSA Officer 714-375-6280 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: CA A246830) |
| Enumeration Date | 2007-06-21 |
| Last Update Date | 2010-08-27 |