| NPI | 1851541122 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID PEREZ ARGUIJO Director/ C PT 1 626-409-1189 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302F00000X Exclusive Provider Organization (Licence: CA CPT25067) |
| Enumeration Date | 2008-09-24 |
| Last Update Date | 2008-09-24 |