| NPI | 1003361890 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TONI MUUS Office Manager 626-483-3348 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA A43321) |
| Additional Taxonomies | 207Q00000X Family Medicine |
| Enumeration Date | 2016-08-22 |
| Last Update Date | 2017-01-19 |