| NPI | 1184007254 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALEXANDRA A CHRYSANTHIS Owner 562-795-6406 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: CA A62293) |
| Enumeration Date | 2015-07-07 |
| Last Update Date | 2018-03-21 |