| NPI | 1205139094 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KALYANI RANDERIA Medical Director 323-724-9767 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA A45174) |
| Enumeration Date | 2010-12-16 |
| Last Update Date | 2011-04-13 |