| NPI | 1134731482 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNY BRAGANZA Credentialing Manager 562-414-4222 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease |
| Enumeration Date | 2020-08-18 |
| Last Update Date | 2020-08-18 |