| NPI | 1306820758 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRADLEY D SMITH President Chief Executive Officer 310-316-1661 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA G66535) |
| Enumeration Date | 2005-11-30 |
| Last Update Date | 2013-05-24 |