NPI | 1912064486 |
---|---|
Former Legal Business Name | CHILDREN'S ASSOCIATED MEDICAL GROUP |
Entity Type | Organization |
Authorized Contact | HERBERT C. KIMMONS President 858-966-8567 |
Organization Subpart ? | Yes |
Primary Taxonomy | 2080P0206X Pediatrics, Pediatric Gastroenterology |
Additional Taxonomies | 208000000X Pediatrics |
Enumeration Date | 2007-01-03 |
Last Update Date | 2008-04-22 |