| NPI | 1376929828 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BERGERETTE SAINT-VICTOR CEO 562-977-5715 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
| Additional Taxonomies | 261Q00000X Clinic/Center (Licence: CA BU21412090) |
| Enumeration Date | 2015-08-07 |
| Last Update Date | 2015-10-15 |