| NPI | 1568822690 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACK AZAD President 323-756-1317 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: CA A54433) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: CA A54433) |
| Enumeration Date | 2016-03-02 |
| Last Update Date | 2016-04-25 |