| NPI | 1952670341 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANNETTE A. CORONEL-PEREY Pediatrician 310-532-5558 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: CA A55253) |
| Enumeration Date | 2011-12-14 |
| Last Update Date | 2011-12-14 |