| NPI | 1124804661 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANNA GURYANOVA Manager 213-380-3800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Additional Taxonomies | 174400000X Specialist |
| Enumeration Date | 2023-08-31 |
| Last Update Date | 2023-08-31 |