| NPI | 1053551739 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JIMMY L EZELL President 323-971-2250 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: CA C27187) |
| Enumeration Date | 2009-02-20 |
| Last Update Date | 2009-03-06 |