| NPI | 1811488760 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HAROLD ISEKE Owner 562-980-0555 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 363L00000X Nurse Practitioner |
| Enumeration Date | 2018-05-27 |
| Last Update Date | 2018-06-19 |