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 |