| NPI | 1326556598 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD AGUILAR Owner 323-582-7406 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: CA G62147) |
| Enumeration Date | 2018-01-22 |
| Last Update Date | 2020-05-13 |