| NPI | 1548832033 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PENELOPE KOKKINIDES Chief Administrative Officer 213-326-9473 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 208D00000X General Practice |
| Additional Taxonomies | 207Q00000X Family Medicine |
| Enumeration Date | 2021-07-14 |
| Last Update Date | 2024-11-22 |