| NPI | 1821532508 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANA ROSA ASCENCIO Administrative Assistant 213-219-8054 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: CA A52193) |
| Enumeration Date | 2016-12-14 |
| Last Update Date | 2016-12-14 |