| NPI | 1750647111 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD SEELIG DAVIS Owner 626-446-4727 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: CA g38620) |
| Enumeration Date | 2012-04-10 |
| Last Update Date | 2012-04-10 |