| NPI | 1942256094 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSE LUIS CARRILLO Business Accounts Manager 213-739-3282 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Enumeration Date | 2006-05-26 |
| Last Update Date | 2023-05-26 |