| NPI | 1205305026 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILBERT CORNELIOUS JORDAN President 562-630-1415 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease |
| Enumeration Date | 2018-11-21 |
| Last Update Date | 2018-11-21 |