| NPI | 1871887299 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GINGER LEON Medical Director 562-694-0600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA 20A8311) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: CA PA17187) |
| 363AM0700X Physician Assistant, Medical (Licence: CA PA17142) | |
| Enumeration Date | 2011-06-02 |
| Last Update Date | 2011-06-02 |