NPI | 1619232808 |
---|---|
Entity Type | Organization |
Authorized Contact | MARILOU GEGARE CRUZ President 562-861-1245 |
Organization Subpart ? | No |
Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: CA A44484) |
Enumeration Date | 2012-07-12 |
Last Update Date | 2023-06-15 |