| NPI | 1043583875 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALFONSO L BARRAGAN Owner 626-281-8835 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208600000X Surgery |
| Additional Taxonomies | 208D00000X General Practice |
| Enumeration Date | 2012-02-09 |
| Last Update Date | 2021-03-26 |