| NPI | 1396271763 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BASEM FARAG Owner 562-531-9272 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA C53207) |
| Additional Taxonomies | 207R00000X Internal Medicine |
| Enumeration Date | 2017-05-04 |
| Last Update Date | 2017-05-04 |