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 |