| NPI | 1841694270 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANET AGU Nurse Practitioner 562-565-0699 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CA NP23549) |
| Enumeration Date | 2014-10-14 |
| Last Update Date | 2014-10-14 |