| NPI | 1093966822 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUZANNE L FUSSELL President 562-989-0145 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: CA A055383) |
| Enumeration Date | 2008-10-10 |
| Last Update Date | 2008-10-10 |