| NPI | 1023143427 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAYMUNDO SEVILLA BAUTISTA President 626-914-3871 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: CA A52874) |
| Enumeration Date | 2007-02-23 |
| Last Update Date | 2012-08-31 |