| NPI | 1801820857 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BHARATHI S VAYUVEGULA Owner 626-914-0174 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 208000000X Pediatrics |
| 208D00000X General Practice | |
| Enumeration Date | 2006-07-10 |
| Last Update Date | 2022-01-05 |