| NPI | 1396009411 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FLORANTE ANTOLIN ALEJO Medical Doctor 310-830-9962 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: CA A37227) |
| Enumeration Date | 2012-07-03 |
| Last Update Date | 2012-07-03 |