| NPI | 1710089313 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BERTHA MEI GEE-LEW Chief Executive Officer 619-295-3911 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: CA G38238) |
| Enumeration Date | 2006-09-02 |
| Last Update Date | 2020-08-22 |