NPI | 1457440497 |
---|---|
Entity Type | Organization |
Authorized Contact | CARLOS P. ESTIANDAN President 213-483-7315 |
Organization Subpart ? | No |
Primary Taxonomy | 208VP0000X (Licence: CA A38326) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA A38326) |
207Q00000X Family Medicine (Licence: CA A38326) | |
Enumeration Date | 2006-10-11 |
Last Update Date | 2025-09-11 |