| NPI | 1497781579 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMOS CHEERKEY ACOFF President 213-413-4203 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302F00000X Exclusive Provider Organization (Licence: CA FNP 24915) |
| Enumeration Date | 2006-06-23 |
| Last Update Date | 2020-08-22 |