| NPI | 1518411214 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FERNANDO IBARRA President/Owner 626-284-1736 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology |
| Additional Taxonomies | 207L00000X Anesthesiology |
| Enumeration Date | 2016-08-10 |
| Last Update Date | 2018-03-17 |