| NPI | 1417638768 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DENNIS STOLPNER President 323-475-5077 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice |
| Additional Taxonomies | 261QH0100X Clinic/Center, Health Services |
| Enumeration Date | 2023-07-28 |
| Last Update Date | 2023-10-13 |