| NPI | 1760877245 |
|---|---|
| Former Legal Business Name | CHILDREN'S PEDIATRIC MEDICAL GROUP |
| Entity Type | Organization |
| Authorized Contact | DAVID CHRISTENSEN President 559-353-3000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208000000X Pediatrics |
| Enumeration Date | 2015-04-01 |
| Last Update Date | 2015-12-30 |