| NPI | 1437568235 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALI JOHN ENAYATI President/Owner 310-292-4883 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: CA A73998) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA A73998) |
| Enumeration Date | 2014-08-05 |
| Last Update Date | 2014-08-05 |