| NPI | 1215100417 |
|---|---|
| Doing Business As | CLINICA WESTERN |
| Entity Type | Organization |
| Authorized Contact | DANTE ATIENZA BANTA President 323-461-0777 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: CA A44079) |
| Enumeration Date | 2008-04-08 |
| Last Update Date | 2011-08-02 |