| NPI | 1144762014 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HEATHER DIAZ Manager 310-721-3793 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Additional Taxonomies | 207KA0200X Allergy & Immunology, Allergy |
| 208000000X Pediatrics | |
| 2080A0000X Pediatrics, Adolescent Medicine | |
| 208D00000X General Practice | |
| Enumeration Date | 2016-11-09 |
| Last Update Date | 2023-04-26 |