| NPI | 1114231354 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VITAL HINOJOSA Medical Director 310-521-9725 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: CA A37463) |
| Enumeration Date | 2010-07-29 |
| Last Update Date | 2013-05-31 |