| NPI | 1639604895 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RENATO V MUNGCAL President 213-480-0748 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: CA A42598) |
| Enumeration Date | 2017-04-25 |
| Last Update Date | 2017-04-25 |