| NPI | 1669693693 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FRANK F WOZNAK Physician President 310-828-5571 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: CA C28067) |
| Enumeration Date | 2007-05-01 |
| Last Update Date | 2020-08-22 |