| NPI | 1003008103 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | H MILANO MELLON Owner 310-673-3133 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QA0505X Family Medicine, Adult Medicine (Licence: CA A30748) |
| Enumeration Date | 2007-08-13 |
| Last Update Date | 2013-03-27 |