NPI | 1023145240 |
---|---|
Entity Type | Organization |
Authorized Contact | ABDOULAYE DIOP Medical Director 323-778-4310 |
Organization Subpart ? | No |
Primary Taxonomy | 207QA0000X Family Medicine, Adolescent Medicine |
Enumeration Date | 2007-02-27 |
Last Update Date | 2020-08-22 |