| NPI | 1447307749 |
|---|---|
| Former Legal Business Name | FREEMAN LAX MED GRP |
| Entity Type | Organization |
| Authorized Contact | ANTHONY G RODAS President 310-321-7222 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA G40366) |
| Enumeration Date | 2007-01-05 |
| Last Update Date | 2020-08-22 |