NPI | 1033547146 |
---|---|
Entity Type | Organization |
Authorized Contact | GLORIA CALDERON VP, Clinic Operations 562-499-6191 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine |
Additional Taxonomies | 208000000X Pediatrics |
363A00000X Physician Assistant | |
363L00000X Nurse Practitioner | |
Enumeration Date | 2013-10-29 |
Last Update Date | 2013-10-29 |