| NPI | 1255475356 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DOMINGO CHUA BARRIENTOS President 818-376-0405 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA A56239) |
| Enumeration Date | 2007-02-20 |
| Last Update Date | 2020-08-22 |