| NPI | 1689939787 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALINA KIEVSKY Vice President 323-606-3888 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: CA 21671) |
| Enumeration Date | 2012-07-05 |
| Last Update Date | 2012-07-05 |