| NPI | 1295408557 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE LABAO CEO/Nurse Practitioner 626-252-0994 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care |
| Enumeration Date | 2021-07-31 |
| Last Update Date | 2021-08-01 |