| NPI | 1548375777 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DENNIS WAYNE EVANS Strategic Planner, Research And Dev 562-499-6191 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2006-08-20 |
| Last Update Date | 2020-08-22 |