NPI | 1780169524 |
---|---|
Other Name | CHOC PRIMARY CARE NETWORK |
Entity Type | Organization |
Authorized Contact | MARK KELLY Director, Cs Business Serivices 714-509-7861 |
Organization Subpart ? | Yes |
Primary Taxonomy | 208000000X Pediatrics |
Additional Taxonomies | 2080A0000X Pediatrics, Adolescent Medicine |
2080B0002X Pediatrics, Obesity Medicine | |
363LP0200X Nurse Practitioner, Pediatrics | |
Enumeration Date | 2018-09-27 |
Last Update Date | 2018-10-26 |