| NPI | 1750653069 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TINA M PADRON Afc, Western Regional Director Clin 562-499-6191 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 208000000X Pediatrics |
| Enumeration Date | 2012-02-01 |
| Last Update Date | 2012-02-01 |