| NPI | 1982032520 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERESA ARELENE TINCOPA Secretary 562-693-9880 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA A25202) |
| Enumeration Date | 2013-10-17 |
| Last Update Date | 2013-10-17 |