| NPI | 1538482567 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICIA GALLEGOS Office Manager 626-356-0340 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 261QP2300X Clinic/Center, Primary Care |
| Enumeration Date | 2010-03-04 |
| Last Update Date | 2018-01-25 |