NPI | 1609403807 |
---|---|
Entity Type | Organization |
Authorized Contact | EMMA GRACE SARI Credentialing Manager 562-321-4421 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine |
Additional Taxonomies | 208D00000X General Practice |
261QM1300X Clinic/Center, Multi-Specialty | |
Enumeration Date | 2020-03-26 |
Last Update Date | 2022-08-24 |