| NPI | 1417010380 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERNESTO BELMONTE BANAAG President 323-254-1987 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA A36730) |
| Enumeration Date | 2006-12-19 |
| Last Update Date | 2007-11-13 |