| NPI | 1063726164 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EHSAN MOSHFEGH Medical Director 310-246-4172 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: CA A42194) |
| Enumeration Date | 2010-07-30 |
| Last Update Date | 2010-08-06 |