| NPI | 1538772843 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MAHFOUZ MONIR MICHAEL CEO 323-999-8267 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QE0002X Clinic/Center, Emergency Care |
| Additional Taxonomies | 261QP2300X Clinic/Center, Primary Care |
| Enumeration Date | 2020-08-26 |
| Last Update Date | 2020-08-26 |