| NPI | 1790186112 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GILBERTO BULTRON CEO 626-800-4059 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2080P0206X Pediatrics, Pediatric Gastroenterology (Licence: CA A106843) |
| Enumeration Date | 2014-09-05 |
| Last Update Date | 2014-09-09 |