| NPI | 1679553192 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FLORA POLADYAN COO 323-454-4481 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
| 207R00000X Internal Medicine | |
| 207V00000X Obstetrics & Gynecology | |
| 207Y00000X Otolaryngology | |
| 208000000X Pediatrics | |
| 208D00000X General Practice | |
| Enumeration Date | 2006-01-19 |
| Last Update Date | 2022-02-24 |