NPI | 1417560863 |
---|---|
Entity Type | Organization |
Authorized Contact | SHEHNAZ N. HABIB Medical Director 626-446-4659 |
Organization Subpart ? | No |
Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
Additional Taxonomies | 207R00000X Internal Medicine |
Enumeration Date | 2020-08-26 |
Last Update Date | 2024-12-05 |