| NPI | 1104319102 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER DOAN Managing Associate General Counsel 310-259-4706 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 207V00000X Obstetrics & Gynecology | |
| 208600000X Surgery | |
| 225100000X Physical Therapist | |
| 261QP2000X Clinic/Center, Physical Therapy | |
| 261QU0200X Clinic/Center, Urgent Care | |
| 363A00000X Physician Assistant | |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2018-06-13 |
| Last Update Date | 2024-07-15 |