| 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 |