| NPI | 1285176008 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JONE JADE A BAUTISTA Owner 562-860-0100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: CA 550001001) |
| Enumeration Date | 2016-11-10 |
| Last Update Date | 2016-11-10 |