| NPI | 1710497268 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ENRICO J DIRIENZO Medical Director 310-473-5800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA G134479) |
| Enumeration Date | 2017-10-10 |
| Last Update Date | 2017-10-10 |