| NPI | 1063959757 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ASHLEY ALFRED WOOL-SMITH Manager 310-553-5203 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 207Q00000X Family Medicine |
| Enumeration Date | 2017-01-19 |
| Last Update Date | 2017-01-19 |