| NPI | 1538487210 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER L RASCOE Registered Nurse 562-961-3668 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: CA FNP36074) |
| Enumeration Date | 2010-05-05 |
| Last Update Date | 2010-05-05 |