NPI | 1104487776 |
---|---|
Entity Type | Organization |
Authorized Contact | AMABLE R AGUILUZ President 818-762-2084 |
Organization Subpart ? | No |
Primary Taxonomy | 208D00000X General Practice |
Additional Taxonomies | 207Q00000X Family Medicine |
Enumeration Date | 2019-06-25 |
Last Update Date | 2019-06-25 |