| NPI | 1982619672 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MANISH B MAROLIA M.D./ CEO 714-596-5557 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: CA A67462) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA A67462) |
| Enumeration Date | 2006-07-30 |
| Last Update Date | 2019-07-09 |