| 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 |