| NPI | 1700027661 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RANDOLPH BETTS President 626-331-7369 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA A25707) |
| Additional Taxonomies | 208D00000X General Practice (Licence: CA A25707) |
| Enumeration Date | 2009-03-23 |
| Last Update Date | 2009-03-23 |