| NPI | 1023559697 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAMRON KENNETH HAKHAMIMI Medical Director 323-697-2330 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QA0401X Family Medicine Addiction Medicine (Licence: CA A74169) |
| Enumeration Date | 2017-03-16 |
| Last Update Date | 2020-10-14 |