| NPI | 1134412323 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ARTHUR VALLES Director 562-301-5306 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty (Licence: CA A40329) |
| Enumeration Date | 2011-05-20 |
| Last Update Date | 2011-05-20 |