| NPI | 1366699027 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VICTOR M QUINONES Office Manager 323-780-4100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: CA A99511) |
| Enumeration Date | 2008-08-25 |
| Last Update Date | 2016-03-10 |