| NPI | 1073700159 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES M MAPLES President/Provider 562-430-6850 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA 20A6903) |
| Enumeration Date | 2007-10-02 |
| Last Update Date | 2018-10-09 |