| NPI | 1336189117 |
|---|---|
| Other Name | EL SERENO MEDICAL GROUP INC |
| Entity Type | Organization |
| Authorized Contact | AN PANG CHIENG Owner/President 323-225-2351 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA 20A8055) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA G66648) |
| 208D00000X General Practice (Licence: CA A48048) | |
| Enumeration Date | 2006-06-08 |
| Last Update Date | 2007-10-11 |