| NPI | 1134475171 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WALEED S AL-FADLY President 310-324-1183 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: CA A20545) |
| Enumeration Date | 2012-07-27 |
| Last Update Date | 2012-07-27 |