| NPI | 1891433470 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CLEMENTE DIAZ Sr. Director Of Payer Contracting 626-269-4146 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QI0500X Clinic/Center, Infusion Therapy |
| Additional Taxonomies | 363L00000X Nurse Practitioner |
| Enumeration Date | 2022-05-24 |
| Last Update Date | 2024-04-10 |