NPI | 1437485513 |
---|---|
Entity Type | Organization |
Authorized Contact | SANDRA ORANTES Credentialing Manager 310-515-5004 |
Organization Subpart ? | No |
Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: CA 20A8944) |
Enumeration Date | 2009-10-26 |
Last Update Date | 2022-09-02 |