| NPI | 1518329408 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHEILA MARIE BONILLA President 626-445-1853 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207K00000X Allergy & Immunology (Licence: CA A69281) |
| Enumeration Date | 2016-03-22 |
| Last Update Date | 2018-03-28 |