| NPI | 1689849481 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEEDEE WESTON Director 323-545-9288 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 2086S0127X Surgery, Trauma Surgery |
| 208D00000X General Practice | |
| Enumeration Date | 2008-04-23 |
| Last Update Date | 2009-03-27 |