NPI | 1316401250 |
---|---|
Entity Type | Organization |
Authorized Contact | ELLEN SHIN General Legal Counsel 310-943-4500 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine |
Additional Taxonomies | 261QM1300X Clinic/Center, Multi-Specialty |
Enumeration Date | 2019-01-24 |
Last Update Date | 2019-01-24 |