| NPI | 1356203269 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAURA MACIAS EL YAMANY Nurse Practitioner 562-201-2304 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
| Enumeration Date | 2025-12-01 |
| Last Update Date | 2025-12-01 |