| NPI | 1053691766 |
|---|---|
| Doing Business As | SUNDARAM LA FAMILIA MEDICAL CLINIC |
| Entity Type | Organization |
| Authorized Contact | JAWAHAR SUNDARAM Physician 323-589-0927 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207K00000X Allergy & Immunology (Licence: CA A67659) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: CA PA19004) |
| 207Q00000X Family Medicine (Licence: CA A67659) | |
| 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: CA 20A7566) | |
| 208D00000X General Practice (Licence: CA PA19004) | |
| 208D00000X General Practice (Licence: CA 20A7566) | |
| 208D00000X General Practice (Licence: CA A67659) | |
| 208D00000X General Practice (Licence: CA PA190272) | |
| 208D00000X General Practice (Licence: CA PA19593) | |
| Enumeration Date | 2011-08-25 |
| Last Update Date | 2011-08-25 |