NPI | 1033462874 |
---|---|
Entity Type | Organization |
Authorized Contact | HOWARD MARTIN MOSS Physician Owner 310-553-2080 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: CA A20242) |
Enumeration Date | 2012-10-17 |
Last Update Date | 2012-10-17 |