NPI | 1134898844 |
---|---|
Entity Type | Organization |
Authorized Contact | ANDREW PASCUAL President 562-508-7123 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine |
Additional Taxonomies | 363L00000X Nurse Practitioner |
Enumeration Date | 2021-09-08 |
Last Update Date | 2022-05-20 |