| NPI | 1770200321 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SANDRA JAYNE DARLING Clinical Operations Manager 562-637-7381 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QP2300X Clinic/Center Primary Care |
| Additional Taxonomies | 251B00000X Case Management |
| Enumeration Date | 2022-10-25 |
| Last Update Date | 2022-10-25 |