| NPI | 1245392554 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RANDALL HRABKO Vice President 213-413-4203 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: CA G39326) |
| Enumeration Date | 2006-12-14 |
| Last Update Date | 2020-08-22 |