| NPI | 1992249783 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VAIJAYANTI KOLDHEKAR Physician 626-303-2541 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: CA 3518) |
| Enumeration Date | 2016-12-13 |
| Last Update Date | 2016-12-13 |