| NPI | 1992463251 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICARDO PEVERINI President 909-651-5582 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208000000X Pediatrics |
| Additional Taxonomies | 103TF0200X Psychologist, Forensic |
| 2080C0008X Pediatrics, Child Abuse Pediatrics | |
| 2080T0002X Pediatrics, Medical Toxicology | |
| 2084F0202X Psychiatry & Neurology, Forensic Psychiatry | |
| 363A00000X Physician Assistant | |
| 363L00000X Nurse Practitioner | |
| 363LP0200X Nurse Practitioner, Pediatrics | |
| Enumeration Date | 2021-12-03 |
| Last Update Date | 2021-12-03 |