| NPI | 1750446985 |
|---|---|
| Former Legal Business Name | SOUTH BAY CHILDREN'S MEDICAL GROUP, INC. |
| Entity Type | Organization |
| Authorized Contact | RICHARD BRIAN FOX Medical Director 408-402-2452 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 208000000X Pediatrics |
| Enumeration Date | 2006-12-27 |
| Last Update Date | 2018-01-25 |