| NPI | 1033885199 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BOJANA JANKOVIC WEATHERLY Owner 310-614-3697 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207R00000X Internal Medicine |
| Enumeration Date | 2021-08-19 |
| Last Update Date | 2021-08-19 |