NPI | 1215263827 |
---|---|
Entity Type | Organization |
Authorized Contact | PATRICK B. LAWRENCE Director 323-233-9686 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA C39153) |
Additional Taxonomies | 208D00000X General Practice (Licence: CA A20149) |
Enumeration Date | 2009-11-02 |
Last Update Date | 2009-11-18 |