| NPI | 1174828669 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GAYLE VERNETTE MITCHELL President/Owner 323-316-9461 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA A66712) |
| Enumeration Date | 2011-01-14 |
| Last Update Date | 2020-08-13 |