| NPI | 1083985238 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNY L BATONGMALAQUE President 310-830-4561 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: CA A23481) |
| Enumeration Date | 2012-01-19 |
| Last Update Date | 2012-01-19 |