| NPI | 1972792729 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RONALD J. PHILIPP Physician/Owner 562-498-8000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QG0300X Family Medicine, Geriatric Medicine (Licence: CA 20A4777) |
| Additional Taxonomies | 207QG0300X Family Medicine, Geriatric Medicine (Licence: CA 20A6919) |
| Enumeration Date | 2007-10-17 |
| Last Update Date | 2014-01-08 |