| NPI | 1346652856 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK GOODMAN President 310-271-6889 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: CA G81205) |
| Enumeration Date | 2014-06-02 |
| Last Update Date | 2014-06-02 |