| NPI | 1437328325 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MAURICIO EDUARDO BUENO Medical Director 323-791-0557 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA g77249) |
| Enumeration Date | 2008-02-25 |
| Last Update Date | 2026-03-31 |