NPI | 1518276922 |
---|---|
Entity Type | Organization |
Authorized Contact | STEVEN JEFFREY JACOBS President 310-271-2328 |
Organization Subpart ? | No |
Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: CA G45704) |
Enumeration Date | 2010-10-02 |
Last Update Date | 2015-02-18 |