| NPI | 1982616439 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WATSON ANTONIO DESA Owner 562-594-6080 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: CA A32717) |
| Enumeration Date | 2006-08-13 |
| Last Update Date | 2023-04-14 |