| NPI | 1164467973 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL J MAGUIRE Physician/Owner 562-945-9333 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QG0300X Family Medicine, Geriatric Medicine (Licence: CA 20A4248) |
| Additional Taxonomies | 207QG0300X Family Medicine, Geriatric Medicine (Licence: CA 20A4272) |
| 207Q00000X Family Medicine (Licence: CA 20A7501) | |
| Enumeration Date | 2006-06-17 |
| Last Update Date | 2023-02-06 |