| 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 |