| NPI | 1336837665 |
|---|---|
| Doing Business As | PHOENIX HEALTH |
| Entity Type | Organization |
| Authorized Contact | HEATHER DIAZ Administrator 323-695-3822 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 208D00000X General Practice |
| 208000000X Pediatrics | |
| 2080A0000X Pediatrics, Adolescent Medicine | |
| 207KA0200X Allergy & Immunology, Allergy | |
| Enumeration Date | 2023-04-25 |
| Last Update Date | 2023-05-05 |