| NPI | 1295988194 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDUARDO AQUINO Billing Manager 310-543-1695 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA G29047) |
| Enumeration Date | 2008-10-23 |
| Last Update Date | 2008-10-23 |