| NPI | 1558664938 |
|---|---|
| Doing Business As | NONE |
| Entity Type | Organization |
| Authorized Contact | ANTHONY C DIKE President 323-434-4626 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty (Licence: FL ME110756) |
| Additional Taxonomies | 207R00000X Internal Medicine |
| Enumeration Date | 2010-12-07 |
| Last Update Date | 2022-01-06 |