| NPI | 1619753191 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LIEZL SANTOS President/CEO 562-879-3879 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care |
| Additional Taxonomies | 163WW0000X Registered Nurse, Wound Care |
| Enumeration Date | 2023-08-31 |
| Last Update Date | 2024-08-01 |