| NPI | 1144317124 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAURENCE JON LASKY Physician 310-947-1366 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: CA G22540) |
| Enumeration Date | 2006-10-09 |
| Last Update Date | 2007-10-09 |