| NPI | 1154624344 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHEN DAVID TAUS Preseident 310-548-3078 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: CA G24011) |
| Enumeration Date | 2010-12-10 |
| Last Update Date | 2010-12-10 |