| NPI | 1396983292 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID ENRIQUE CANTONG CEO 213-700-4819 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: CA DC21916) |
| Enumeration Date | 2009-01-30 |
| Last Update Date | 2009-01-30 |