| NPI | 1447649389 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS DOSUMU-JOHNSON Vice President 310-343-9330 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: CA A40845) |
| Enumeration Date | 2015-01-15 |
| Last Update Date | 2019-10-22 |