| NPI | 1750799680 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANE R. FLIEDNER Authorized Official 949-788-1111 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: CA A76363) |
| Enumeration Date | 2014-07-23 |
| Last Update Date | 2014-07-23 |