| NPI | 1144326166 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERTO LUARCA Owner 562-949-7979 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302F00000X Exclusive Provider Organization (Licence: CA A46188) |
| Enumeration Date | 2006-09-16 |
| Last Update Date | 2013-09-19 |