| NPI | 1568181808 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LIDIYA KAZAROVA CEO 323-904-7793 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Additional Taxonomies | 208D00000X General Practice |
| Enumeration Date | 2022-08-22 |
| Last Update Date | 2022-08-26 |