| NPI | 1003302647 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSHUA CHAVEZ MENGHAMAL President 626-373-7932 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care |
| Enumeration Date | 2018-07-06 |
| Last Update Date | 2018-07-06 |