| NPI | 1124214341 |
|---|---|
| Doing Business As | BALDWIN PARK-EL MONTE MEDICAL GROUP |
| Entity Type | Organization |
| Authorized Contact | HERMAN CARRILLO President 626-338-4088 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: CA A45086) |
| Enumeration Date | 2007-09-20 |
| Last Update Date | 2007-09-20 |