| NPI | 1023282605 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERESITA E. TAN Doctor 213-382-1770 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: CA A40376) |
| Enumeration Date | 2008-04-15 |
| Last Update Date | 2008-04-15 |