| NPI | 1699275115 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LARS HANSON CEO 626-375-1505 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 207V00000X Obstetrics & Gynecology | |
| Enumeration Date | 2018-02-21 |
| Last Update Date | 2018-02-21 |