| NPI | 1922659804 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SANJEEV DUTTA Vice President 650-269-3991 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2080P0006X Pediatrics Developmental - Behavioral Pediatrics |
| Enumeration Date | 2019-09-23 |
| Last Update Date | 2019-09-23 |