| NPI | 1699153809 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAYMUNDO ROMERO Medical Director 626-256-3638 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207R00000X Internal Medicine |
| Enumeration Date | 2015-05-08 |
| Last Update Date | 2015-05-08 |