| NPI | 1679846547 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SALINA MARIE SIMMONS Office Manager 951-699-6115 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2080A0000X Pediatrics, Adolescent Medicine (Licence: CA A43702) |
| Enumeration Date | 2012-02-22 |
| Last Update Date | 2012-02-22 |