| NPI | 1639319890 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CINDY C COLLO President 626-795-8811 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center Health Service (Licence: CA A62138) |
| Enumeration Date | 2009-03-02 |
| Last Update Date | 2009-03-02 |