| NPI | 1053590984 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM M CARRAGHER President/Owner 323-874-9355 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: CA 20A7692) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: CA 20A7692) |
| 207R00000X Internal Medicine (Licence: CA 20A7692) | |
| 208100000X Physical Medicine & Rehabilitation (Licence: CA 20A7692) | |
| Enumeration Date | 2007-10-27 |
| Last Update Date | 2009-01-07 |