| NPI | 1265473672 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RANDALL HRABKO President 213-413-4203 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA G39326) |
| Additional Taxonomies | 302F00000X Exclusive Provider Organization (Licence: CA FNP34335) |
| Enumeration Date | 2006-06-08 |
| Last Update Date | 2008-05-27 |