| NPI | 1760875298 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIFFANY MENDOZA Residency Coordinator 562-904-5482 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: CA 20A13794) |
| Enumeration Date | 2015-03-09 |
| Last Update Date | 2015-03-09 |