| NPI | 1285153882 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL AZARKH Director 310-408-7096 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: CA A116986) |
| Enumeration Date | 2017-09-14 |
| Last Update Date | 2022-07-21 |