NPI | 1427477827 |
---|---|
Former Legal Business Name | GOOD NEIGHBOR CLINIC, AMC |
Entity Type | Organization |
Authorized Contact | DANIEL DAVIDSON Administrator 323-298-1668 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA A31491) |
Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry |
208D00000X General Practice | |
261Q00000X Clinic/Center | |
Enumeration Date | 2014-04-14 |
Last Update Date | 2024-05-24 |