| NPI | 1487987905 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KUSUM RUDRAPPA Medical Director 213-388-3712 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: CA A37070) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: CA G87522) |
| 207QS1201X Family Medicine, Sleep Medicine | |
| 207RS0010X Internal Medicine, Sports Medicine (Licence: CA A37070) | |
| 207RS0012X Internal Medicine, Sleep Medicine (Licence: CA A54260) | |
| 207Y00000X Otolaryngology (Licence: CA G36302) | |
| 2084P2900X Psychiatry & Neurology, Pain Medicine (Licence: CA PSY12331) | |
| Enumeration Date | 2009-09-16 |
| Last Update Date | 2009-09-16 |