| NPI | 1508333238 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN E BOHM Owner/CEO 626-294-4866 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Additional Taxonomies | 261Q00000X Clinic/Center |
| 261QH0100X Clinic/Center, Health Services | |
| Enumeration Date | 2018-10-31 |
| Last Update Date | 2020-03-25 |