| NPI | 1710360094 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER JOHNSON CEO 949-856-2701 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2080A0000X Pediatrics, Adolescent Medicine (Licence: CA A40753) |
| Enumeration Date | 2015-07-03 |
| Last Update Date | 2015-07-03 |