| NPI | 1629413000 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAYKUMAR H SHAH Physician 626-446-4404 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: CA A42091) |
| Enumeration Date | 2013-04-30 |
| Last Update Date | 2013-04-30 |