| NPI | 1679846257 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OFELIA KIEDPOOL Nurse Practitioner 562-741-4470 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: CA 20892) |
| Additional Taxonomies | 261QH0100X Clinic/Center, Health Services (Licence: CA 20892) |
| Enumeration Date | 2012-02-14 |
| Last Update Date | 2012-02-14 |