| NPI | 1962944074 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DENNIS CHANG President 909-268-6538 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207LP3000X Anesthesiology Pediatric Anesthesiology (Licence: CA A144238) |
| Enumeration Date | 2016-11-07 |
| Last Update Date | 2021-04-17 |