| NPI | 1144475898 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VIRGILIO C PANGANIBAN Director 562-925-7033 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA A34146) |
| Enumeration Date | 2008-11-21 |
| Last Update Date | 2008-11-21 |