| NPI | 1740511369 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BERNARD S JORGE President/Owner 562-531-1946 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA A18393) |
| Enumeration Date | 2010-01-21 |
| Last Update Date | 2021-08-04 |