| NPI | 1245265750 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAMY S FARAG Owner 323-665-5600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty (Licence: CA A25821) |
| Enumeration Date | 2006-07-12 |
| Last Update Date | 2020-08-22 |