| NPI | 1912199233 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PHILLIP ADRIAN RUIZ President 323-359-9204 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA A44599) |
| Additional Taxonomies | 261Q00000X Clinic/Center (Licence: CA PA16956) |
| 261Q00000X Clinic/Center (Licence: CA NP11421) | |
| Enumeration Date | 2007-08-10 |
| Last Update Date | 2008-02-01 |