| NPI | 1053179911 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AURELIA WHITEHEAD Chief Executive Officer 323-200-6418 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care |
| Enumeration Date | 2024-03-06 |
| Last Update Date | 2024-03-06 |