NPI | 1780865352 |
---|---|
Doing Business As | GROSSMONT PEDIATRICS, INC. |
Entity Type | Organization |
Authorized Contact | BINA ADIGOPULA President 619-698-2184 |
Organization Subpart ? | No |
Primary Taxonomy | 208000000X Pediatrics (Licence: CA FNP32339) |
Enumeration Date | 2007-11-23 |
Last Update Date | 2017-03-27 |