| NPI | 1750543740 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELIZABETH FARACE Billing Manager 714-516-4295 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2080P0207X Pediatrics, Pediatric Hematology-Oncology |
| Enumeration Date | 2008-06-30 |
| Last Update Date | 2008-06-30 |