| 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 |