| NPI | 1174934400 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OMAR EDUARDO ESPINOSA President/CEO 818-945-5523 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: CA A23122) |
| Enumeration Date | 2014-05-08 |
| Last Update Date | 2014-05-08 |