| NPI | 1841216223 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAROUCEL KIM CHUATECO President 213-250-0235 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA A85249) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: CA C25993) |
| Enumeration Date | 2006-07-15 |
| Last Update Date | 2020-08-22 |