| NPI | 1063891091 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NIKUNJ MAHENDRA PATEL Medical Director 323-264-2890 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA A114074) |
| Enumeration Date | 2015-05-22 |
| Last Update Date | 2015-05-22 |