| NPI | 1104842491 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFERY ADAM OSTRIKER Sole Share Holder 310-328-3421 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA G48181) |
| Enumeration Date | 2006-07-14 |
| Last Update Date | 2020-08-22 |