| NPI | 1962400028 |
|---|---|
| Former Legal Business Name | SAN GABRIEL PEDIATRICS, INC. |
| Entity Type | Organization |
| Authorized Contact | MEZIA OGUGUA AZINGE-OBASI President/CEO 323-290-2832 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X (Licence: CA A53449) |
| Enumeration Date | 2005-07-12 |
| Last Update Date | 2010-03-02 |