| NPI | 1013932979 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NAGY KHALIL Owner 323-584-1490 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: CA A56354) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CA A56258) |
| Enumeration Date | 2006-07-13 |
| Last Update Date | 2020-08-22 |