| NPI | 1306079181 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REYNALDO LIMPIN MAKABALI President 213-389-9595 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: CA A51157) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CA A51157) |
| Enumeration Date | 2009-08-27 |
| Last Update Date | 2019-05-22 |