| NPI | 1558473678 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL OLIN BROUSSEAU President 626-794-4668 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA 20A7759) |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2020-08-22 |