| NPI | 1801007968 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LYNNA DEL CASTILLO Billing Administrator 626-332-7090 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: CA g50827) |
| Enumeration Date | 2007-05-24 |
| Last Update Date | 2014-06-25 |