| NPI | 1801135702 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IMELDA TAN TANCHOCO President/CEO 626-960-2977 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: CA A106359) |
| Enumeration Date | 2013-02-12 |
| Last Update Date | 2013-02-12 |