NPI | 1750391058 |
---|---|
Entity Type | Organization |
Authorized Contact | JAMES ADAM WEIDMAN Physician Owner 818-713-1977 |
Organization Subpart ? | No |
Primary Taxonomy | 2080A0000X Pediatrics, Adolescent Medicine (Licence: CA G460760) |
Enumeration Date | 2006-08-09 |
Last Update Date | 2023-07-18 |