| NPI | 1972334746 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROMEO V HERRERA Chief Operating Officer 310-407-9331 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208000000X Pediatrics |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 261QC1500X Clinic/Center, Community Health | |
| Enumeration Date | 2024-08-12 |
| Last Update Date | 2024-08-12 |