| NPI | 1841026259 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIA LUNA HAYAG VILLARIN Administrator/Office Manager 562-676-6888 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice |
| Enumeration Date | 2024-09-11 |
| Last Update Date | 2024-09-11 |