| NPI | 1629616255 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LORENA FUENTES Np / Owner 626-963-4467 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health |
| Enumeration Date | 2019-12-13 |
| Last Update Date | 2019-12-13 |