NPI | 1588611461 |
---|---|
Doing Business As | PACIFIC BURNETT MEDICAL CLINIC |
Entity Type | Organization |
Authorized Contact | LAWRENCE O OGBECHIE Medical Director 213-444-6271 |
Organization Subpart ? | No |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CA A61959) |
Additional Taxonomies | 208D00000X General Practice (Licence: CA A61959) |
Enumeration Date | 2006-05-27 |
Last Update Date | 2015-02-16 |