| NPI | 1689688343 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANTHONY L. MENDOZA President/CEO 562-632-1258 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA A73075) |
| Enumeration Date | 2006-07-28 |
| Last Update Date | 2022-07-21 |