| NPI | 1457852113 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSE REYES PILPA Md 626-522-0396 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center Health Service (Licence: CA A41431) |
| Enumeration Date | 2018-02-27 |
| Last Update Date | 2018-02-27 |