| NPI | 1821403502 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARILOU C. LUCERO Owner/President 562-861-3581 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: CA A31375) |
| Enumeration Date | 2014-06-21 |
| Last Update Date | 2014-06-21 |