| 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 |