| NPI | 1578891867 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RODNEY STEPHEN BARRON Director 323-664-4114 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QG0300X Family Medicine, Geriatric Medicine |
| Additional Taxonomies | 208800000X Urology |
| 208D00000X General Practice | |
| Enumeration Date | 2009-11-24 |
| Last Update Date | 2010-07-01 |