| NPI | 1134914179 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ARNEL TEJONES Asst Administrator 626-233-2148 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0300X Internal Medicine, Geriatric Medicine |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family |
| Enumeration Date | 2025-04-10 |
| Last Update Date | 2025-04-10 |