| NPI | 1912343104 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICARDO PEVERINI President 909-558-7448 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2080P0202X Pediatrics Pediatric Cardiology |
| Additional Taxonomies | 208000000X Pediatrics |
| Enumeration Date | 2013-05-15 |
| Last Update Date | 2019-07-19 |