| NPI | 1699981803 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MOHAMED KOCHU PAREED Owner 626-338-8484 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: CA A32854) |
| Additional Taxonomies | 261QP2300X Clinic/Center, Primary Care (Licence: CA A32854) |
| Enumeration Date | 2007-05-15 |
| Last Update Date | 2020-08-22 |