| NPI | 1114186608 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAYAM KERENDIAN Medical Director 310-859-1077 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QB0002X Family Medicine, Bariatric Medicine (Licence: CA 20A8382) |
| Enumeration Date | 2008-06-09 |
| Last Update Date | 2009-03-18 |