NPI | 1689079402 |
---|---|
Entity Type | Organization |
Authorized Contact | LUIS SAMANIEGO Family Medicine Program Director 323-260-5789 |
Organization Subpart ? | No |
Primary Taxonomy | 284300000X Special Hospital (Licence: CA 20A13554) |
Additional Taxonomies | 261Q00000X Clinic/Center (Licence: CA 20A13554) |
261QU0200X Clinic/Center, Urgent Care (Licence: CA 20A13554) | |
Enumeration Date | 2014-10-23 |
Last Update Date | 2014-10-23 |