NPI | 1548427032 |
---|---|
Entity Type | Organization |
Authorized Contact | ALONZO ELLIS LOCKHART Medical Director 714-547-6543 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA C42439) |
Enumeration Date | 2008-05-21 |
Last Update Date | 2008-05-21 |