| NPI | 1427589555 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LANDON MCCARROLL President/CEO 310-927-8097 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: CA 51510) |
| Enumeration Date | 2017-03-21 |
| Last Update Date | 2017-03-21 |