| NPI | 1679625834 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IRMA MATA GONZALEZ Women's Health Coordinator 562-949-6069 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302F00000X Exclusive Provider Organization |
| Enumeration Date | 2007-01-17 |
| Last Update Date | 2008-06-12 |