| NPI | 1689846297 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RUSSELL THOMAS SPADARO President 805-493-1964 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: CA G53744) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: CA A80637) |
| 208000000X Pediatrics (Licence: CA G57371) | |
| 2080P0006X Pediatrics, Developmental - Behavioral Pediatrics (Licence: CA G55882) | |
| Enumeration Date | 2008-03-24 |
| Last Update Date | 2008-03-24 |