| NPI | 1871193375 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEITH S. MIYAMOTO President 562-789-5401 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 111N00000X Chiropractor |
| Enumeration Date | 2020-10-26 |
| Last Update Date | 2020-10-26 |