| NPI | 1457594939 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERICK F CARCAMO Medical Docaator 626-337-1360 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 208D00000X General Practice (Licence: CA A53329) |
| Enumeration Date | 2009-04-13 |
| Last Update Date | 2019-06-17 |