NPI | 1154583854 |
---|---|
Entity Type | Organization |
Authorized Contact | RICHARD O MANZO Physician 562-694-6431 |
Organization Subpart ? | No |
Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: CA C21941) |
Enumeration Date | 2008-06-25 |
Last Update Date | 2008-06-25 |