| NPI | 1336879790 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATRINA LING Chief Financial Officer 310-480-4556 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207QH0002X Family Medicine, Hospice and Palliative Medicine |
| Enumeration Date | 2022-06-16 |
| Last Update Date | 2022-06-16 |