| NPI | 1467558734 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN BARKODAR President 323-567-4483 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: CA OA44541) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CA 0A44541) |
| Enumeration Date | 2006-09-15 |
| Last Update Date | 2008-01-23 |