| NPI | 1972516649 |
|---|---|
| Other Name | NA |
| Entity Type | Organization |
| Authorized Contact | FILOMENA SORONGON PASCUAL Physician 909-481-9515 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: CA A42652) |
| Enumeration Date | 2006-08-14 |
| Last Update Date | 2011-10-12 |