| NPI | 1801815949 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GUADALUPE GONZALEZ Office Manager/ Medical Asst. 310-223-0684 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: CA a45589) |
| Enumeration Date | 2006-07-19 |
| Last Update Date | 2020-08-22 |