| NPI | 1538348727 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LORETO M ACEVEDO-CARMONA Business Manager/Administrator 213-637-9080 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: CA A74961) |
| Enumeration Date | 2007-10-24 |
| Last Update Date | 2007-11-26 |