NPI | 1528876547 |
---|---|
Entity Type | Organization |
Authorized Contact | ROBERTO MELENDEZ General Manager 310-918-9100 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
Additional Taxonomies | 207Q00000X Family Medicine |
Enumeration Date | 2024-12-23 |
Last Update Date | 2025-02-15 |