| NPI | 1548380827 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JHONA RUPP Nurse Practitioner 626-795-6981 |
| Organization Subpart ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program (Licence: CA 374845) |
| Enumeration Date | 2007-03-30 |
| Last Update Date | 2008-06-17 |