| NPI | 1174816854 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK HOWARD HYMAN President 310-234-0400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302F00000X Exclusive Provider Organization (Licence: CA G055008) |
| Enumeration Date | 2011-05-27 |
| Last Update Date | 2011-05-27 |