| NPI | 1699187484 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERTA VILLANUEVA Lead Nurse Practitioner 213-202-7533 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: CA 23764) |
| Enumeration Date | 2014-05-28 |
| Last Update Date | 2014-05-28 |