| NPI | 1023039765 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAFAEL ANTONIO SERNA Medical 323-804-6569 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology |
| Enumeration Date | 2006-07-21 |
| Last Update Date | 2020-08-22 |