| NPI | 1710084959 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MODUPE AIYEGBUSI President 310-540-7240 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207L00000X Anesthesiology |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2014-01-08 |