| NPI | 1205342417 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CRAIG L CHASE President 626-522-6553 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 261QP2300X Clinic/Center, Primary Care |
| Enumeration Date | 2017-12-26 |
| Last Update Date | 2024-02-02 |