| NPI | 1780119966 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FADI GEORGE HADDAD President 510-813-4747 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2080P0206X Pediatrics, Pediatric Gastroenterology (Licence: CA C51575) |
| Enumeration Date | 2017-04-26 |
| Last Update Date | 2017-04-26 |