| NPI | 1497878706 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVEN GARRETT Billing Manager 310-348-0500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QA0505X Family Medicine, Adult Medicine (Licence: CA G44486) |
| Enumeration Date | 2007-04-10 |
| Last Update Date | 2020-08-22 |