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 |