| NPI | 1144498890 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAMIR SHAHIN Medical Director 310-641-8111 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: CA G53276) |
| Additional Taxonomies | 2083X0100X Preventive Medicine, Occupational Medicine (Licence: CA G53276) |
| Enumeration Date | 2008-02-15 |
| Last Update Date | 2014-11-13 |