| NPI | 1477903243 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VINCENT BENNETT President 310-467-4924 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA A38792) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: CA G75983) |
| Enumeration Date | 2016-06-13 |
| Last Update Date | 2016-06-13 |