NPI | 1578567038 |
---|---|
Entity Type | Organization |
Authorized Contact | MARVIN CANLAS TRANI President/CEO 562-531-9806 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA A48853) |
Enumeration Date | 2005-06-10 |
Last Update Date | 2022-06-27 |