| NPI | 1427203785 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KWABENA OBENG Administrator 310-800-7963 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207R00000X Internal Medicine |
| 207V00000X Obstetrics & Gynecology | |
| 2085N0700X Radiology, Neuroradiology | |
| 2085U0001X Radiology, Diagnostic Ultrasound | |
| Enumeration Date | 2008-11-28 |
| Last Update Date | 2008-11-28 |