| NPI | 1801032164 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRENT PRATLEY Medical Director 562-728-9600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: CA A36774) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA A54374) |
| Enumeration Date | 2008-12-16 |
| Last Update Date | 2008-12-16 |