| NPI | 1245416189 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONNA STIDHAM Chief Of Managed Care 323-436-5025 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty |
| Additional Taxonomies | 207RI0200X Internal Medicine, Infectious Disease |
| Enumeration Date | 2008-01-10 |
| Last Update Date | 2019-09-11 |