| NPI | 1588951404 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VICKY PINEDA Credentialing Admin 562-445-7870 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA A21870) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: CA A90745) |
| 208000000X Pediatrics (Licence: CA A32930) | |
| Enumeration Date | 2011-06-29 |
| Last Update Date | 2011-11-08 |