| NPI | 1154920858 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANOTNIO ZAMORANO CEO 562-982-4208 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice |
| Additional Taxonomies | 207Q00000X Family Medicine |
| Enumeration Date | 2020-10-22 |
| Last Update Date | 2020-10-22 |