NPI | 1467225821 |
---|---|
Doing Business As | PROSPECT LATINO MEDICAL GROUP, INC. |
Entity Type | Organization |
Authorized Contact | ROBERT ELDERS Secretary 310-943-4500 |
Organization Subpart ? | No |
Primary Taxonomy | 208D00000X General Practice |
Enumeration Date | 2023-11-06 |
Last Update Date | 2023-11-06 |