| NPI | 1992458822 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WASSIM BALLAN Physician/Owner 415-317-1304 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2080P0208X Pediatrics, Pediatric Infectious Diseases |
| Enumeration Date | 2022-02-01 |
| Last Update Date | 2022-02-01 |