| NPI | 1457447393 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANJANETTE M HOGAN Owner 323-296-0150 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: CA 00021705320019) |
| Enumeration Date | 2006-10-05 |
| Last Update Date | 2012-09-19 |