| NPI | 1124440979 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT J. MARGOLIS Chief Executive Officer 310-354-4221 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical |
| Enumeration Date | 2014-01-14 |
| Last Update Date | 2014-01-14 |