NPI | 1316017809 |
---|---|
Entity Type | Organization |
Authorized Contact | ISSAM KHAFAJA President 213-484-6444 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA A54280) |
Additional Taxonomies | 208D00000X General Practice (Licence: CA A54280) |
Enumeration Date | 2006-11-09 |
Last Update Date | 2020-08-22 |