NPI | 1457567026 |
---|---|
Doing Business As | HERRERA & OBESO MEDICAL GROUP INC |
Entity Type | Organization |
Authorized Contact | MARIA S SANTOS Practice Manager 626-337-1800 |
Organization Subpart ? | No |
Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
Additional Taxonomies | 302F00000X Exclusive Provider Organization (Licence: CA AO54745) |
302R00000X Health Maintenance Organization (Licence: CA AO54745) | |
305R00000X Preferred Provider Organization (Licence: CA AO54745) | |
305S00000X Point of Service (Licence: CA AO54745) | |
Enumeration Date | 2007-05-14 |
Last Update Date | 2023-10-31 |