| NPI | 1467622076 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL MATEMOTJA Owner/Medical Doctor 310-637-0318 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: CA A35512) |
| Enumeration Date | 2008-03-11 |
| Last Update Date | 2008-03-11 |