| NPI | 1578181707 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEITH S. MIYAMOTO President 562-789-5401 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207R00000X Internal Medicine |
| 208000000X Pediatrics | |
| 213E00000X Podiatrist | |
| Enumeration Date | 2020-07-14 |
| Last Update Date | 2020-07-14 |