| NPI | 1316248313 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PETER DAN SLISKOVICH Owner/President 310-833-2461 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA G42414) |
| Enumeration Date | 2010-11-06 |
| Last Update Date | 2010-11-06 |