| NPI | 1346350758 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WALTER JAYASINGHE Owner 562-465-0139 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA A52549) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: CA A31911) |
| 207VG0400X Obstetrics & Gynecology Gynecology (Licence: CA A26210) | |
| 208000000X Pediatrics (Licence: CA A38978) | |
| 363L00000X Nurse Practitioner (Licence: CA NP349926) | |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2020-08-22 |