| NPI | 1669687026 |
|---|---|
| Doing Business As | COMMUNITY HEALTHCARE PROVIDER GROUP |
| Entity Type | Organization |
| Authorized Contact | DWIGHT WAYNE MALONE President 323-779-2800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA G71749) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA G73639) |
| Enumeration Date | 2007-05-11 |
| Last Update Date | 2020-08-22 |