| NPI | 1770763633 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES J BACHA Physician 714-528-5112 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2080A0000X Pediatrics, Adolescent Medicine (Licence: CA A23480) |
| Enumeration Date | 2007-11-08 |
| Last Update Date | 2013-02-28 |