| NPI | 1447943675 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN MARK SISON CEO 626-888-7018 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QA0505X Family Medicine, Adult Medicine |
| Additional Taxonomies | 207Q00000X Family Medicine |
| Enumeration Date | 2023-06-01 |
| Last Update Date | 2023-06-01 |