| NPI | 1427096197 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALEXANDER DUSOVICH President 310-613-2414 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: CA FNP32158) |
| Enumeration Date | 2006-06-03 |
| Last Update Date | 2020-08-22 |