| NPI | 1033295522 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FERNANDO TIONGSON ENRILE President 818-989-9700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA A29539) |
| Additional Taxonomies | 208D00000X General Practice (Licence: CA A29539) |
| Enumeration Date | 2006-10-27 |
| Last Update Date | 2020-08-22 |