| NPI | 1275823130 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIAN C PAYNE Director 562-928-5700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QU0200X Clinic/Center, Urgent Care (Licence: CA A67059) |
| Additional Taxonomies | 207QS0010X Family Medicine, Sports Medicine (Licence: CA A67059) |
| Enumeration Date | 2011-04-12 |
| Last Update Date | 2016-11-30 |