NPI | 1417343690 |
---|---|
Entity Type | Organization |
Authorized Contact | ROGER SHORTZ Owner 562-790-8100 |
Organization Subpart ? | No |
Primary Taxonomy | 207QG0300X Family Medicine, Geriatric Medicine |
Additional Taxonomies | 207Q00000X Family Medicine |
Enumeration Date | 2015-04-14 |
Last Update Date | 2019-04-11 |