NPI | 1003172826 |
---|---|
Entity Type | Organization |
Authorized Contact | RICHARD C KEECH Medical Director 310-543-1695 |
Organization Subpart ? | No |
Primary Taxonomy | 208D00000X General Practice (Licence: CA g29047) |
Enumeration Date | 2012-04-05 |
Last Update Date | 2012-07-18 |