| NPI | 1336303536 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSELITO PONCE BABARAN President 818-342-4440 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: CA A51480) |
| Enumeration Date | 2008-07-16 |
| Last Update Date | 2010-05-24 |