| NPI | 1215395355 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDWARD AUSTIN Medical Doctor 310-763-4250 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: CA G66313) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: CA G66313) |
| Enumeration Date | 2016-02-03 |
| Last Update Date | 2016-02-03 |