| NPI | 1639053036 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROGGIELYZ PADILLA CFO 562-316-6555 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center Primary Care |
| Additional Taxonomies | 261QH0700X Clinic/Center Hearing and Speech |
| 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) | |
| 261QM0850X Clinic/Center Adult Mental Health | |
| 261QM1300X Clinic/Center Multi-Specialty | |
| 261QP2000X Clinic/Center Physical Therapy | |
| Enumeration Date | 2025-07-31 |
| Last Update Date | 2025-07-31 |