| NPI | 1962604264 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RONALD BANGSIL CEO/Medical Director 714-226-0770 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA A66106) |
| Enumeration Date | 2007-05-31 |
| Last Update Date | 2017-11-24 |