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 |