| NPI | 1982808622 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LORENZO ESGUERRA TIZON Medical Director 323-860-9054 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA A40329) |
| Enumeration Date | 2007-06-14 |
| Last Update Date | 2010-02-08 |