| NPI | 1235586124 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELLEN SHIN Legal General Counsel 310-943-4500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 207R00000X Internal Medicine | |
| 2084P0800X Psychiatry & Neurology, Psychiatry | |
| 363AS0400X Physician Assistant, Surgical | |
| 363LF0000X Nurse Practitioner, Family | |
| Enumeration Date | 2016-05-20 |
| Last Update Date | 2019-03-06 |