| NPI | 1154457745 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTINE BARNES-KEITH Administrator 323-268-8391 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: CA A28934) |
| Enumeration Date | 2007-02-26 |
| Last Update Date | 2020-08-22 |