| NPI | 1184370199 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOANNA BALASICO Vice President 213-465-2643 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 261Q00000X |
| Enumeration Date | 2022-02-28 |
| Last Update Date | 2022-03-18 |