| NPI | 1023469616 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM MARTINEZ Vice President 323-725-1144 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA A75748) |
| Enumeration Date | 2016-06-25 |
| Last Update Date | 2017-07-18 |