| NPI | 1134445257 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER PEREZ Program Manager 323-226-5217 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 18548) |
| Enumeration Date | 2010-04-14 |
| Last Update Date | 2010-04-14 |