| NPI | 1912412644 |
|---|---|
| Doing Business As | ST. JUNIPERO CHILDREN'S CLINIC |
| Entity Type | Organization |
| Authorized Contact | STEVE DARMAWAN President 831-917-7737 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: CA A85492) |
| Enumeration Date | 2017-12-04 |
| Last Update Date | 2022-09-23 |