| NPI | 1417992074 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HILARION C DAYOAN Director Of Medical Affairs 626-350-1148 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA A387579) |
| Additional Taxonomies | 208D00000X General Practice (Licence: CA A387579) |
| 208D00000X General Practice (Licence: CA A31960) | |
| Enumeration Date | 2006-06-18 |
| Last Update Date | 2020-08-22 |