| NPI | 1477692408 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEMMON MCMILLAN Owner 310-901-4714 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: CA A82810) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA G77541) |
| Enumeration Date | 2007-02-06 |
| Last Update Date | 2011-12-13 |