| NPI | 1194926592 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIAN JALIL Owner 562-945-7671 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA W10442) |
| Additional Taxonomies | 207QG0300X Family Medicine, Geriatric Medicine (Licence: CA W10442) |
| Enumeration Date | 2007-05-31 |
| Last Update Date | 2015-01-20 |