| NPI | 1679190664 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IZUCHUKWU OKPARA President & CEO 213-228-3538 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice |
| Additional Taxonomies | 207R00000X Internal Medicine |
| 208600000X Surgery | |
| 363LP2300X Nurse Practitioner, Primary Care | |
| Enumeration Date | 2020-06-25 |
| Last Update Date | 2020-10-29 |