| NPI | 1710115456 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAYMUNDO SEVILLA BAUTISTA Medical Director 626-839-9100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: CA A52874) |
| Enumeration Date | 2009-07-01 |
| Last Update Date | 2009-07-01 |