NPI | 1073706289 |
---|---|
Entity Type | Organization |
Authorized Contact | RAYMUNDO ROMERO Director 323-264-7238 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA A75748) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: CA 2047059) |
Enumeration Date | 2007-08-21 |
Last Update Date | 2017-12-26 |