| NPI | 1881233633 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNY BRAGANZA Credentialing Manager 562-341-4786 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QI0500X Clinic/Center Infusion Therapy |
| Additional Taxonomies | 261Q00000X Clinic/Center |
| Enumeration Date | 2019-12-26 |
| Last Update Date | 2020-03-04 |