| NPI | 1750583001 |
|---|---|
| Other Name | GATEWAYS PERCY VILLAGE OP CLINIC |
| Entity Type | Organization |
| Authorized Contact | PHIL WONG CEO 323-644-2000 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM0801X (Licence: CA 198600612) |
| Enumeration Date | 2007-05-31 |
| Last Update Date | 2021-07-29 |