| 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 |