| NPI | 1114229762 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LUCITA CRUZ Owner 562-802-2203 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA A37419) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA A37419) |
| Enumeration Date | 2010-12-01 |
| Last Update Date | 2015-01-22 |