| NPI | 1962433409 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMIE CARISSA OEY President 562-861-9142 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: CA A53553) |
| Enumeration Date | 2006-07-05 |
| Last Update Date | 2010-11-11 |