| NPI | 1265951099 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEITH S. MIYAMOTO President 562-789-5401 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology |
| Enumeration Date | 2017-09-13 |
| Last Update Date | 2020-02-26 |