| NPI | 1528459385 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FERNANDO IBARRA Owner/President 626-284-1350 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine Gastroenterology (Licence: CA A38493) |
| Enumeration Date | 2015-02-13 |
| Last Update Date | 2020-12-07 |