| NPI | 1689564296 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAHMORES MATIN CEO 310-896-5208 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 261QP2300X Clinic/Center, Primary Care |
| Enumeration Date | 2025-07-07 |
| Last Update Date | 2025-07-25 |