| NPI | 1033437371 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSE MANUEL TORREBLANCA Medical Director 323-564-4408 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA A41327) |
| Enumeration Date | 2010-05-11 |
| Last Update Date | 2010-05-17 |