NPI | 1942328182 |
---|---|
Entity Type | Organization |
Authorized Contact | IGNATIUS GODOY President 562-406-8634 |
Organization Subpart ? | No |
Primary Taxonomy | 207QA0505X Family Medicine Adult Medicine (Licence: CA 101630) |
Enumeration Date | 2007-03-26 |
Last Update Date | 2020-08-22 |