| NPI | 1699201897 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HENRICO V MUNGCAL President 562-591-7302 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: CA A49333) |
| Enumeration Date | 2017-05-08 |
| Last Update Date | 2017-05-08 |