| NPI | 1760257349 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TORRIE CLONTZ Fnp 562-665-5770 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Additional Taxonomies | 261QM1300X Clinic/Center, Multi-Specialty |
| Enumeration Date | 2023-11-23 |
| Last Update Date | 2023-11-23 |