NPI | 1619584497 |
---|---|
Entity Type | Organization |
Authorized Contact | BARRY STEVEN ALLSWANG COO 562-299-5239 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine |
Additional Taxonomies | 103TC0700X Psychologist, Clinical |
208600000X Surgery | |
Enumeration Date | 2020-09-25 |
Last Update Date | 2022-03-28 |