| NPI | 1972891778 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGEL DE MOLA Owner 626-357-0914 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: CA A21210) |
| Enumeration Date | 2011-07-13 |
| Last Update Date | 2015-08-25 |