| NPI | 1982873162 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUAN ZEPEDA MONTES President 310-419-4354 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA G35182) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: CA A64056) |
| 207RA0401X Internal Medicine, Addiction Medicine (Licence: CA G35182) | |
| 208000000X Pediatrics (Licence: CA A35815) | |
| Enumeration Date | 2008-02-21 |
| Last Update Date | 2010-06-21 |