NPI | 1417721895 |
---|---|
Doing Business As | PROSPECT NUESTRA FAMILIA MEDICAL GROUP-LOS ANGELES |
Entity Type | Organization |
Authorized Contact | ROBERT ELDERS Secretary 310-943-4500 |
Organization Subpart ? | No |
Primary Taxonomy | 208D00000X General Practice |
Enumeration Date | 2023-11-07 |
Last Update Date | 2023-11-07 |