NPI | 1316198997 |
---|---|
Entity Type | Organization |
Authorized Contact | MANUEL P MOMJIAN President 626-616-6642 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA A98448) |
Additional Taxonomies | 261QU0200X Clinic/Center, Urgent Care (Licence: CA A98448) |
Enumeration Date | 2008-10-01 |
Last Update Date | 2014-04-17 |