| 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 |