| NPI | 1124208087 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MEHRUNISA MOHAMMEDI CEO 562-945-0252 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA A84718) |
| Additional Taxonomies | 208D00000X General Practice (Licence: CA A25926) |
| Enumeration Date | 2007-11-08 |
| Last Update Date | 2007-11-08 |