| NPI | 1679626436 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FRANCISCO A JIMENEZ President 323-773-8295 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: CA A40305) |
| Additional Taxonomies | 261QP2300X Clinic/Center, Primary Care (Licence: CA 17679) |
| Enumeration Date | 2007-01-18 |
| Last Update Date | 2014-10-07 |