| NPI | 1699955575 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MIGUEL DOMINGO Medical Director 626-337-2888 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 225100000X Physical Therapist |
| Enumeration Date | 2007-11-08 |
| Last Update Date | 2009-03-11 |