| NPI | 1104984137 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EMMANUEL A AYODELE Medical Doctor 323-779-8398 |
| Organization Subpart ? | No |
| Primary Taxonomy | 173000000X Legal Medicine (Licence: CA A46478) |
| Enumeration Date | 2006-12-04 |
| Last Update Date | 2020-08-22 |