| NPI | 1356889836 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANTHONY MILLS Executive Director 310-550-1010 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: CA A44497) |
| Enumeration Date | 2017-02-06 |
| Last Update Date | 2021-10-28 |