| NPI | 1396329199 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHADMAN CHOWDHURY Practice Development Specialist 213-235-1212 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Enumeration Date | 2021-05-07 |
| Last Update Date | 2021-05-07 |