NPI | 1861892705 |
---|---|
Entity Type | Organization |
Authorized Contact | RICARDO PEVERINI President 909-558-7445 |
Organization Subpart ? | No |
Primary Taxonomy | 2086S0120X Surgery, Pediatric Surgery |
Additional Taxonomies | 208000000X Pediatrics |
208600000X Surgery | |
235Z00000X Speech-Language Pathologist, | |
363A00000X Physician Assistant | |
363L00000X Nurse Practitioner | |
Enumeration Date | 2014-08-28 |
Last Update Date | 2019-07-19 |