| NPI | 1255486874 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAMUEL ROTENBERG Medical Director 323-589-6681 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207R00000X Internal Medicine |
| 208000000X Pediatrics | |
| Enumeration Date | 2007-01-24 |
| Last Update Date | 2020-08-22 |