| NPI | 1336749274 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN LOGAN Authorized Official 626-320-7800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QU0200X Clinic/Center, Urgent Care |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 332B00000X Durable Medical Equipment & Medical Supplies | |
| Enumeration Date | 2020-10-29 |
| Last Update Date | 2025-08-04 |