| 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 |