| NPI | 1831360288 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARILU RAMIREZ Business Office Supervisor 626-449-3830 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305R00000X Preferred Provider Organization (Licence: CA G30649) |
| Enumeration Date | 2008-03-13 |
| Last Update Date | 2008-05-28 |