| NPI | 1912219635 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JERRY A. OKONKWOAGUOLU Medical Director 562-591-1111 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty (Licence: CA FNP40289) |
| Additional Taxonomies | 261QX0100X Clinic/Center, Occupational Medicine (Licence: CA FNP40289) |
| 261QU0200X Clinic/Center, Urgent Care (Licence: CA FNP40289) | |
| Enumeration Date | 2010-07-10 |
| Last Update Date | 2014-03-31 |