| NPI | 1831346592 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIMOTHY J. FERGUSON President 626-335-3527 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA A036813) |
| Enumeration Date | 2008-08-25 |
| Last Update Date | 2008-11-25 |