| NPI | 1467540419 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAURINE C MAXELL Medical Director 562-498-0832 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA G71495) |
| Enumeration Date | 2006-10-11 |
| Last Update Date | 2020-08-22 |