| NPI | 1487842233 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EYNALD ACEBEDO DUARTE Owner 562-944-8244 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 305R00000X Preferred Provider Organization (Licence: CA 50596) |
| Enumeration Date | 2007-10-05 |
| Last Update Date | 2007-10-05 |