| NPI | 1588868640 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AUGUSTINE ILUORE Medical Director 323-585-8777 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA A053317) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA A053317) |
| Enumeration Date | 2007-06-13 |
| Last Update Date | 2020-08-22 |