| NPI | 1972489029 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROGGIELYZ PADILLA CEO 562-316-6555 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 103TC1900X Psychologist, Counseling |
| 207Q00000X Family Medicine | |
| 251S00000X Community/Behavioral Health | |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2025-08-13 |
| Last Update Date | 2025-08-13 |