| NPI | 1558660126 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAMUEL LEROY MCMILLAN Owner 562-928-9700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: CA C39834) |
| Enumeration Date | 2011-03-22 |
| Last Update Date | 2011-03-22 |