| NPI | 1417271750 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GINA RENNA CEO 310-453-2335 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QA0505X Family Medicine, Adult Medicine (Licence: CA 20A6324) |
| Enumeration Date | 2010-03-16 |
| Last Update Date | 2010-03-16 |