| NPI | 1386025773 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EMILE SHENOUDA President 323-566-4411 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA A56273) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CA A56273) |
| Enumeration Date | 2015-06-11 |
| Last Update Date | 2015-06-11 |