NPI | 1811307622 |
---|---|
Entity Type | Organization |
Authorized Contact | KIMBERLY UYEDA Medical Director 213-241-0558 |
Organization Subpart ? | Yes |
Primary Taxonomy | 208000000X Pediatrics |
Additional Taxonomies | 152W00000X Optometrist |
207Q00000X Family Medicine | |
363LF0000X Nurse Practitioner, Family | |
363LP0200X Nurse Practitioner, Pediatrics | |
Enumeration Date | 2014-05-01 |
Last Update Date | 2014-05-01 |