NPI | 1598033920 |
---|---|
Entity Type | Organization |
Authorized Contact | JACKLIN POLADIAN Chief Executive Officer 626-200-4500 |
Organization Subpart ? | No |
Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: CA A110327) |
Enumeration Date | 2011-12-13 |
Last Update Date | 2023-10-27 |