| NPI | 1780730192 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENDRA WILLIAMS Director Of Revenue Cycle 626-397-8384 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 207QA0505X Family Medicine, Adult Medicine |
| Enumeration Date | 2007-01-26 |
| Last Update Date | 2022-12-19 |