| NPI | 1285055970 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICIA MACIOG Owner 562-938-7129 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: CA A049415) |
| Enumeration Date | 2013-12-23 |
| Last Update Date | 2013-12-23 |