| NPI | 1194914234 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GILBERT ROSALES CEO 818-897-2164 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: CA A53868) |
| Enumeration Date | 2007-10-15 |
| Last Update Date | 2013-06-20 |