| NPI | 1679773683 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PRUDENCIA KINTAUDI CEO 562-256-1388 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QC1500X Clinic/Center, Community Health (Licence: CA 550000510) |
| Enumeration Date | 2007-07-19 |
| Last Update Date | 2007-07-19 |