| NPI | 1598232324 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ARACELI FUENTES Contracts Manager 626-800-1200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208000000X Pediatrics |
| Additional Taxonomies | 207Q00000X Family Medicine |
| Enumeration Date | 2018-10-30 |
| Last Update Date | 2019-01-17 |