| NPI | 1932146370 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ARACELI FUENTES Contracts Manager 626-800-1200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA A94585) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: CA A96423) |
| 207R00000X Internal Medicine (Licence: CA A46009) | |
| 208000000X Pediatrics | |
| Enumeration Date | 2006-06-02 |
| Last Update Date | 2019-06-25 |