NPI | 1417132556 |
---|---|
Entity Type | Organization |
Authorized Contact | DAVID CARLTON DILETTERA President 323-728-7271 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA 20A4939) |
Enumeration Date | 2008-01-08 |
Last Update Date | 2008-01-08 |