| NPI | 1194500264 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MAHFOUZ MICHAEL CEO 323-999-8267 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QU0200X Clinic/Center, Urgent Care |
| Additional Taxonomies | 207Q00000X Family Medicine |
| Enumeration Date | 2023-08-28 |
| Last Update Date | 2023-08-28 |