| NPI | 1821326901 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBBIE MORAN Office Manager 626-441-2231 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305R00000X Preferred Provider Organization (Licence: CA 47586) |
| Enumeration Date | 2009-11-30 |
| Last Update Date | 2009-11-30 |