| NPI | 1629192091 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES WILLIAM EISENBERG President 310-899-1525 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QA0505X Family Medicine, Adult Medicine (Licence: CA G23834) |
| Enumeration Date | 2007-03-19 |
| Last Update Date | 2020-08-22 |