| NPI | 1114088267 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALEXANDER PHILIP FORD M.D. 310-277-6405 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: CA G57387) |
| Enumeration Date | 2006-12-13 |
| Last Update Date | 2008-02-22 |