| NPI | 1689868259 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEVIN JUSTIN CHAMAS CEO And President 310-564-2005 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA G058541) |
| Enumeration Date | 2007-08-28 |
| Last Update Date | 2013-07-30 |