| NPI | 1528251436 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUE BASS Office Manager 562-997-7888 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: CA G061259) |
| Enumeration Date | 2007-08-23 |
| Last Update Date | 2022-09-28 |