| NPI | 1083266233 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEITH S MIYAMOTO President 562-789-5401 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 111N00000X Chiropractor |
| 207R00000X Internal Medicine | |
| 207Y00000X Otolaryngology | |
| 208000000X Pediatrics | |
| 2081P2900X Physical Medicine & Rehabilitation Pain Medicine | |
| 213E00000X Podiatrist | |
| Enumeration Date | 2019-07-09 |
| Last Update Date | 2023-06-13 |