| 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 |