NPI | 1700160884 |
---|---|
Entity Type | Organization |
Authorized Contact | ROBERT MAXX MARTINEZ President 818-653-4299 |
Organization Subpart ? | No |
Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: CA PA21107) |
Enumeration Date | 2011-10-06 |
Last Update Date | 2012-03-20 |