| NPI | 1083003321 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARL E COAN CEO 323-987-1222 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 122300000X Dentist (Licence: CA 550003845) |
| 207Q00000X Family Medicine | |
| 208000000X Pediatrics | |
| Enumeration Date | 2015-01-09 |
| Last Update Date | 2023-12-14 |