| NPI | 1003038001 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNY BATONGMALAQUE Associate Medical Director 562-920-9777 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA 09998) |
| Additional Taxonomies | 207QG0300X Family Medicine, Geriatric Medicine (Licence: CA 09998) |
| 207R00000X Internal Medicine (Licence: CA 09998) | |
| Enumeration Date | 2007-05-02 |
| Last Update Date | 2020-08-22 |